What is compulsory employee insurance?

Employee insurance involves the compulsory insurance of workers against the consequences of an accident. Employees must be insured during the work, in and out of the workplace, while the possibility of out-of-hours and out-of official trips insurance is the employer’s choice.

What is the employer’s duty under the Occupational Safety and Health Act?

The Law on Safety and Health at Work, Article 53, Paragraph 1 states the following:

“The employer is obliged to insure employees from injuries at work, occupational and work-related illnesses in order to ensure compensation for the damage.”

Who can be insured?

The collective insurance contract is concluded according to the official records of the insurance contractor (employer) for all employees, members of the organization, etc., or according to the list provided by the contractor for those employees that the contractor (employer) wishes to provide this insurance for.

What are the risks you can insure your employees against?

The risks covered by this insurance are following:

• death caused by an accident
• permanent disability (partial or complete disability)
• transient inability to work (paid through daily compensation)
• health impairments requiring medical attention (covered by medical expenses paid by the insured, and not covered by the compulsory health insurance as well as hospital days)

Additionally to this, employer can provide insurance coverage for serious illnesses and surgical interventions for his employees.

Why is it important for employees to be insured for the cause of serious illnesses and surgery interventions?

This type of insurance belongs to voluntary health insurance. For employees, having this type of insurance coverage means that when an insured event occurs (serious illness or surgery – according to the insurer’s charts), the insurer will pay out the insured amount or a percentage of the insured amount in case of illnesses, if this was the first time such illness ocurred.

The list of diseases covered by this insurance varies from insurer to insurer, but most commonly covers myocardial infarction, stroke, malignant tumor, Lyme disease and other diseases prevised in the Insurance Terms and Conditions.

In the case of surgical interventions, the insurer shall pay the insured amount or a percentage of the insured amount for surgical interventions performed during the contracted term of the insurance, with the need for surgical intervention first arising during the the contracted term of the insurance. The sums insured as defined by the contract represent the upper limit of the insurer’s obligation.

What risks are covered?

• serious illnesses that first occur during the contracted term of insurance, according to the list of serious illnesses of the insurer
• Surgical interventions or operations during the contracted term of insurance, with the need for surgical intervention first arising during the contracted term of the insurance, according to the list of surgical interventions of the insurer