Chapter 3
Maternity Benefits
Section 65.27 The insured person shall be entitled to maternity benefits for herself or for the spouse or for the women who cohabits publicly as husband and wife with the insured person according to the regulations prescribed by the Secretary – General, in case the insured person has no wife. In this regard the insured person must have paid contribution for not less than seven months, during the period of fifteen months before the date of receiving medical services.
The insured person shall be entitled to receive maternity benefits for not more than two time of child delivery.
Section 66. Maternity benefits shall consist of:
(1) medical examination and child bearing expenses;
(2) medical treatment expense;
(3) medicine and medical supplies expenses;
(4) confinement expense;
(5) lodging, meals and treatment expenses in hospital;
(6) new – born baby nursing and treatment expenses;
(7) cost of ambulance or transportation for patient;
(8) other necessary expenses
The above mentioned expenses shall be in accordance with the rules and rates prescribed by the Medical Committee, with the approval of the Committee.
The insured person who has to take work-leave for child delivery, shall be entitled to receive work-leave allowance for child delivery according to the prescribed criteria under section 67.28
Section 67.29 In the case where the insured person has taken work-leave for child delivery, such insured person shall be entitled to receive work-leave allowance for child delivery not more than two time by lump sum payment at the rate of fifty per cent of the wages under section 57, within ninety days.
Section 68. If the insured person or his or her spouse is unable to receive the benefits under section 66, by reason that the child delivery is taken in the hospital other than those prescribed under section 59, such insured person shall be entitled to maternity benefits according to the rules and rates prescribed by the Medical Committee, with the approval of the Committee.
Chapter 4
Invalidity Benefits
Section 69.30 The insured person shall be entitled to invalidity benefits according to the cause unrelated to work when he or she has paid contribution for a period of not less than three months during the period of fifteen months before being invalid.
Section 70. Invalidity benefits shall consist of:
(1) medical examination expense;
(2) medical treatment expense;
(3) medicine and medical supplied expenses;
(4) in-patient, meals and treatment expenses in hospital;
(5) cost of ambulance or transportation for invalid person;
(6) physical, mental and occupational rehabilitated expenses;
(7) other necessary expenses
The above mentioned expenses shall be in accordance with the rules and rates prescribed by the Medical Committee, with the approval of the Committee.
Section 71.31 In the case where the insured person has become invalidity by the cause unrelated to work, such insured person shall be entitled to receive income replacement at the rate of fifty per cent of the wages under section 57 through his or her life.
Section 72. In the case where the Medical Committee has determined that the invalidity of an insured person being rehabilitated under section 70 (6) has been developed to be in better condition, the Secretary - General or the person entrusted by the Secretary -General may decide to reduce income replacement in accordance with the rules and procedures prescribed by the Medical Committee, with the approval of the Committee.
In the case where there is a reduction of income replacement under paragraph one, and the invalidity has subsequently become worse, the Secretary – General may, upon the decision of the Medical Committee that the invalidity has become worse than the result considered under paragraph one, consider an additional income replacement.32
Chapter 5
Death Benefits
Section 73.33 In the case where the insured person has died without sustaining injury or sickness due to work, if the insured person has paid contribution for a period of not less than one month during the period of six months before his death, the following benefits shall be paid, in case of death:
(1) funeral expenses according to the rate prescribed in the Ministerial Regulations, but the total amount must not less than one hundred times of the maximum rate of daily minimum wage under the law on labour protection, to the following persons in respective order.
(a) person whom the insured person has specified to be the administrator of his funeral and having been the administrator as such;
(b) spouse, parents or children of the insured person who has evidence certifying the performance as the administrator of the funeral of the insured person;
(c) other person with evidence certifying his or her performance as the administrator of the funeral of the insured person.
(2) Allowance, in the case where an insured person is dead, shall be paid to a person whom the insured person has specified in writing to be the receiver of the allowance. If the insured person has not made any writing, such allowance shall be equally shared among spouse, parents or child of such insured person on the following amount:
(a) If before his or her death, the insured person has paid contributions more than thirty six months but less than ten years, the allowance shall be paid in an amount equal to fifty per cent of monthly wages calculated in accordance with section 57 and multiplied by three;
(b) If before his or her death, the insured person has paid contributions more than ten years, the allowance shall be paid in an amount equal to fifty per cent of monthly wages calculated in accordance with section 57 and multiplied by ten.
Section 73 bis.34 In the case where the insured person who is invalid under section 71, has died, the provisions of section 73 shall apply, mutatis mutandis, and the income replacement received for the last month before the death of such insured person shall be used as basis for calculation.
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27 As amended by section 24 of the Social Security Act (No.2), B.E. 2537 (1994)
28 As amended by section 25 of the Social Security Act (No.2), B.E. 2537 (1994)
29 As amended by section 26, ibid.
30 As amended by section 27 of the Social Security Act (No.2), B.E. 2537 (1994)
31 As amended by section 28, ibid.
32 As added by section 29 of the Social Security Act (No.2), B.E. 2537 (1994)
33 As amended by section 30, ibid.
34 As added by section 31 of the Social Security Act (No.2), B.E. 2537 (1994) |
