What kind of insurance provides a statutory accident insurance?

What kind of insurance provides a statutory accident insurance?

A statutory accident insurance is a form to be assigned to the field of social insurance. Through these will primarily work by preventing accidents or diseases, and for ensuring that upon the occurrence of a restoration of work ability and health of the insured. As a statutory basis for this is based upon the Social and the occupational disease regulation. The stately accident has already been regulated in the late 19 Century under Bismarck first introduced.

The services, which grants a statutory accident leave, split into two main sections. These are, first, the vocational and rehabilitation services. On the other hand, it includes the replacement and compensation. Medical benefits are valued in this context as in-kind.

If there is a permanent incapacity of an insured one, it may cause a payment of a pension. This will be considered if the injured person to work 26 weeks after the actual insurance claim is still not complete.
The review of each of Auditors carried out regularly by the insurance carrier. These are based in most cases on empirical data of the wearer. Medical assessments of the health of the insured may, but need not be drawn to the decision added. Ultimately paid for the amount of power, among other things, the degree of reduction in function of certain body parts or the whole work will be evaluated. This is done regardless of profession, and by the age of the insured. So it may happen that the payment of a stately differs from that of a personal accident insurance.

It should be noted especially in the statutory pension insurance that such is not subject to Einkommensanrechung. The measurement of benefits is this individual and distinguished according to case.

Things are different at a benefit for the survivor of a casualty. These will be levied according to fixed percentages of values. This will now be taken into account but also the income and is quite decisive for the level of performance. Provided, however, the statutory exemption set will be exceeded.

When the insured event occurs when a statutory accident insurance?

When the insured event occurs when a statutory accident insurance?

Insured risks of statutory accident insurance are:

1. Work:
This shall include all accidents, which inadvertently Herbei in the exercise of activities will be conducted during working hours. For professions that include road trips, for example, taxi drivers, traffic accidents are also on the job accidents.

2. Commuting accidents:
An accident can occur during the journey from home to work or vice versa. In addition, for example, is one of the route from the office of the employer to another location also paths to the accident. This often occurs with construction workers who have to move from one site to another site.

3. Occupational diseases:
Occupational diseases are diseases which are listed in the occupational disease regulation and the employee on the basis of this disease is not possible to continue to pursue that profession. At a bakery for example, a Mehlstauballergie can erupt out of time. This disease does not necessarily occur during his training. When the disease first broke out but once he can no longer practice his profession.

The § 8, paragraph 1, sentence 1 of the seventh Social Security provides a definition for the claim. After that his work accident is the legally insured person as a result of the insurance business reasons, which caused the health damage suffered by the affected mainly due to the accident must.

In § 8, paragraph 1, sentence 2 of the seventh Social Security is well defined, which is an accident, under the law. Accordingly, an accident is a temporary, unforeseen external event acting on the body, which can lead to health damage or even death.

Also is associated with the work of emerging disease is not immediately defined as a occupational disease. The legislature is a physical injury sorted out according to the list, which is regarded as an occupational disease. This list is created by a committee of certain experts and submitted to the Federal Government, which of the listed diseases are recognized as an occupational disease.
Statutory accident must be guided by this list and take action.

As for the benefits provided by private insurance covers?

As for the benefits provided by private insurance covers?

The majority of the performance range of private insurance is the disability, an accident caused permanent health damage. The lump-sum payment in the event of permanent damage depends on the so-called degree of disability, which is determined by experts. Furthermore, the degree of permanent damage to health by means of a so-called "Gliedertaxe determine" if there is an accident due to the inability to function or even the loss of body parts and organs of sense. Not there is a possibility to determine the degree of disability, as this type of injury does not allow a medical report will be created, so that determines the extent of the scope of the person concerned has been affected by the accident.
Another large part of the task spectrum of private insurance, however, is the death benefit. If the cause of the accident consequences in a year to the death of the insured, shall be agreed on a death benefit. This may not be this amount of money greater than the sum insured for disability.
Also offers private insurance to two different forms of daily subsistence allowance. The so-called accident hospital overnight will be calculated depending on the number of days in hospital.
The second form of call money insurance, the insurer pays, even if the person is indeed incapacitated, shall not remain in the hospital.
Is drawn also by the consequences of the accident, the work affected, then an agreed overnight for the duration of medical treatment is paid.
The so-called recovery of money, however, is calculated together with the hospital overnight. The recovery of the money will be paid also for the same number of days of hospital daily subsistence allowance.
In addition, private insurance has another benefit in the form of transitional allowance. However, this can only be determined after completion of treatment, so the amount of money paid will be calculated after determining the degree of disability and.
The recovery costs, however, is only paid by the insurer, if incurred costs of rescue, search and rescue or salvage operations.
Schließlicht has private insurance are also entitled to reimbursement cosmetic surgery, if necessary after the end of treatment to cosmetic surgery.

What kind of insurance does have a private accident insurance?

Private insurance: Benefits

In contrast to a statutory health insurance private health insurance usually offers several advantages. Thus, for example, the services of a private insurance more compact and effective.

If the insured person after an accident incapacitated, for example, it is paid by private insurance, a single contribution. At 65 Health insurance takes over the age of the disability pension.
Also a payment of hospital daily allowance for each day of the fractured patient treatment in hospital will be included in the package of services of private insurance. Assumption here is that there is an accidental injury or illness.
Even up to one years the allowance has replaced the privately insured, when he was on sick leave by the doctor.
If, after a serious accident to expensive rescue operations or evacuations, the private insurance bear all costs.
Upon death, the survivors of the insured person is paid a one-off amount.
Must be a casualty for several months in a rehabilitation clinic and requires more complex treatments, so here jumps also a private accident insurance. This does not apply to mental health problems, such as accidental trauma.
Even cosmetic corrections are handled by private accident insurance is often, though not completely. Here, however, some conditions must be met. For example, a cosmetic change is accepted only if disfigurement or deformity of the body caused by an accident. Moreover, this correction must be no more than two or three years will be carried out after an accident.

Insurance benefits from one fund to be managed very differently. In any case, you can take a private insurance always very good and is contrary to the statutory health insurance much better coverage.

When do threatened his statutory accident insurance?

When do threatened his statutory accident insurance?

The threat of a statutory accident insurance coverage begins inevitably have on everyday activities of life. If the insured example, when walking from his home to work variances; or break even the way that can damage where there is a accident are no longer covered by insurance, but many of those affected will lose rights to the scope of its statutory accident insurance.
In addition, however, does not forfeit the coverage if the insured exceeds the daily working time of up to 10 hours, although this view is found on such rights in some companies.
Rather, the statutory accident insurance in no way dependent exerted by the hours worked.
Only if the employer sets up certain rules on working hours, but it can be disregarded by the insured, the insurance accounts. But even in cases of gross negligence, the insurance cover is at stake, but it is judicially determined in most cases.
Furthermore, the statutory accident insurance protection can also be compromised by alcohol or taking other drugs.
Should this be the cause of the accident found on such on the basis of the influence of alcohol, accounts for the modest insurance coverage already in use.
Nevertheless, the coverage is not canceled when an employee who has consumed any alcohol, is proposed with a hammer, for example on the finger. Because of this accident can occur without the influence of alcohol. However, if the employees losing their balance and fall down the stairs of the company, this may no longer be recognized as an occupational accident.
In the event of an accident is, however, accepted only from a blood-alcohol level of 1.1 percent of the influence of alcohol than the legal cause of the accident.
Should the insured, however, be found on such in a state of stupor so he can do no more work activities, it is treated not only as a Non-operating, but will lose their insurance coverage accordingly. Even in the case of an accident, which has not been triggered by the intoxicated insured, his accident he can no longer avail.