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What is covered under Workmen Compensation Insurance

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As an employer, you are often required to purchase Work Injury Compensation Insurance (a.k.a. Workmen Compensation Insurance). Do you know what benefits are covered under this insurance policy?

Most workmen compensation insurance will pay claim according to the Work Injury Compensation Act.

The Work Injury Compensation Act lets employees claim for 3 things:

  1. Medical leave wages
  2. Medical expenses
  3. Lump sum compensation for permanent incapacity or death.

But there are limits to each type of compensation.

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Work Injury Compensation Insurance

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You need to get work injury compensation insurance for all employees doing manual work, as well as all employees earning less than $1,600 a month.

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Who needs to be insured under work injury compensation

If you are an employer, you are required to buy work injury compensation insurance for:

  1. All employees doing manual work, regardless of salary level.
  2. All employees doing non-manual work, earning less than $1,600 a month.

You must have insurance for both local and foreign employees. Failure to provide adequate insurance is an offence carrying a fine of up to $10,000 or jail of up to 12 months, or both.

For other employees, you have the flexibility to decide whether to buy insurance for them. However, if those employees make a valid claim, you will have to compensate them regardless of whether they are insured.

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No more undertaking on project and annual Work Injury Compensation Insurance

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With effect from 1 January 2017, the Market Agreement for WIC in relation to Project Insurance (“the Undertaking”) will be canceled with respect to all accidents that occur on or after 1 January 2017.

Background

In 2012, GIA organized the Undertaking, signed by 39 GIA members, to direct project site WIC and Common Law claims to be covered under the project’s WIC policy.

Cancellation Of Undertaking On Project And Annual Policies

Signatories to the Undertaking have been encountering difficulties adhering to its requirements including identifying project insurers. Statistically, only an average of 6.6% of WIC claims could identify project insurers over the period 2014 – 2016.

Notwithstanding GIA’s efforts to enforce the Undertaking amongst projects, MOM’s position is that Section 23 WICA makes clear the liability of the employer’s insurer to pay WIC to an injured worker and this rule prevails even where there are multiple WIC insurance policies in force.

The failure of the Undertaking to achieve its aim has led the GIA to cancel the Undertaking with effect from 1 January 2017.

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Foreign Worker Medical Insurance

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Effective from 1st January 2010, employers are required to put into effect a foreign worker medical insurance for each of the foreign workers you employ under the following categories:

  • Work permit including foreign domestic worker
  • S Pass holder

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This was implemented in tandem with the withdrawal of healthcare subsidies for foreigners. As an employer, you need to submit the insurance details online before the Work Permit can be issued.

What does Foreign Worker Medical Insurance cover

As an employer, you must buy and maintain medical insurance coverage of at least $15,000 per year for each Work Permit holder.

The insurance should cover inpatient care and day surgery, including hospital bills for conditions that may not be work related.

You can have a co-pay arrangement with the Work Permit holder only if all of the following are met:

  • The medical treatment is not for work-related inpatient expenses.
  • The co-pay amount is reasonable and does not exceed 10% of the worker’s monthly salary.
  • The duration co-payment does not exceed 6 months.
  • The co-payment option is explicitly in the employment contract or collective agreement and has the worker’s full consent.

MOM has specified that you cannot pass on the cost of purchasing the medical insurance to Work Permit holders.

We offer the best Foreign Worker Medical Insurance

There are many types of medical insurance in the market but we can get the best product for you.

Headcount basis to save your time

If you ever purchased foreign worker medical insurance, you know how tedious and time consuming to keep worker list up to date. Not only you need to inform the insurer for addition and deletion of workers, you have to spend countless hours processing the credit and debt invoices. Moreover, you run the danger of not covering the new worker if you forget to update the insurer.

We have a solution for you. Our product is head count basis so you can forget all about the updates.

Better terms to make the claim easier

There are insurance products with all the stringent clauses and you will have a big headache when you make a claim. Our products are different, we offer

  1. No surgical schedule imposed
  2. No exclusion of specific illness imposed
  3. No minimum number of hours required for hospital confinement

Most competitive quote

Because we handle large volume of foreign worker medical insurance for SMEs, we have negotiated very competitive premiums for you. We guarantee to beat your existing premium. don’t believe?

Contact us for a non-obligation quotation

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What is Undertaking Bond

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As a sub contractor, when you are allocated  “man-year entitlements” by the main contractor, you are required to put into effect an Undertaking Bond.

The Bond is to indemnify the main contractor for expenses incurred relating to foreign workers arising from your default.

You can purchase an insurance to cover such requirements and we can offer you the most competitive quote for this.

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Security bond insurance for foreign worker

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As an employer, it is compulsory for you to purchase a security bond for each non-Malaysian foreign worker you want to employ. You can buy the bond at any bank or insurance company, but what will be the best choice?

foreign worker security bond

This article will help you understand security bond requirements by Ministry of Manpower (MOM) for foreign workers and how you can save money, time and hassle when purchasing security bond insurance.

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Changes to Work Injury Compensation Act (WICA) in 2016

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From 1 January 2016, the maximum and minimum compensation limits for death and total permanent incapacity under WICA will be increased. The cap on medical expenses will also be increased.

Click here for the full list of benefits under Work Injury Compensation Act.

Higher compensation limits

The maximum and minimum compensation limits for death and total permanent incapacity under WICA, as well as the cap on medical expenses, will be increased.

Compensation type Accidents before 1 Jan 2016 Accidents from 1 Jan 2016
Death Min: $57,000
Max: $170,000		 Min: $69,000
Max: $204,000
Total permanent incapacity (PI) Min: $73,000
Max: $218,000		 Min: $88,000
Max: $262,000
Medical expenses Up to $30,000 or 1 year from date of accident, whichever first Up to $36,000 or 1 year from date of accident, whichever first

Treatments that help injured workers recover faster

Treatments that help injured workers to return to work early will be claimable as part of WICA medical expenses.

The following activities that help an injured worker recover faster are:

  • Case management
  • Functional capacity evaluation
  • Worksite assessment for purposes of rehabilitating injured workers