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It is registered

in Ministry of Justice

Russian Federation

On February 5, 2007, No. 8906

ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

of December 14, 2006 No. 842

About approval of explanation about payment procedure of additional expenses on medical, social and employment rehabilitation of the insured faces which sustained damage of health owing to labor accidents and occupational diseases

According to Item 2 of the order of the Government of the Russian Federation of May 15, 2006 N286 "About Approval of the Regulations on Payment of Additional Expenses on Medical, Social and Employment Rehabilitation of the Insured Faces Which Sustained Damage of Health owing to Labor Accidents and Occupational Diseases" (The Russian Federation Code, 2006, N 21, 2263) I order to the Art.:

Approve the enclosed explanation about payment procedure of additional expenses on medical, social and employment rehabilitation of the insured faces which sustained damage of health owing to labor accidents and occupational diseases.

 

Minister M.Yu.Zurabov

Appendix

to the order of the Ministry of Health and Social Development of the Russian Federation of December 14, 2006 No. 842

Explanation about payment procedure of additional expenses on medical, social and employment rehabilitation of the insured faces which sustained damage of health owing to labor accidents and occupational diseases

1. According to the subitem 3 of Item 1 of article 8 of the Federal Law of 24.07.1998 of N125-FZ "About Compulsory Social Insurance from Labor Accidents and Occupational Diseases" (The Russian Federation Code, 1998, N 31, 3803) (further - the Federal Law of 24.07.1998 of N125-FZ) providing on insurance is performed by the Art. in payment type of the additional expenses connected with medical, social and employment rehabilitation of the insured event insured in the presence of direct consequences.

According to line item of the Constitutional Court of the Russian Federation stated in determination of 19.01.2005 of N16-O (The bulletin of the Constitutional Court of the Russian Federation, 20053, N 3), and according to Item 1 of article 1 of the Federal Law of N125-FZ one of the principles of compulsory social insurance from labor accidents and occupational diseases is of 24.07.1998 completeness of the indemnification caused to life and health insured in case of execution of obligations by it according to the employment contract (contract) and in others, the cases established by this Federal Law, by provision to insured person in full of all necessary types of providing on insurance, including payment of expenses on medical, social and employment rehabilitation.

The Federal Law of 24.07.1998 of N125-FZ and Regulations on payment of additional expenses on medical, social and employment rehabilitation of the insured faces which sustained damage of health owing to labor accidents and occupational diseases, the approved order of the Government of the Russian Federation of 15.05.2006 of N286 (The Russian Federation Code 2006, N 21, of the Art. 2263) (further the Provision), is determined that additional expenses on medical, social and employment rehabilitation of insured person include expenses on the treatment of insured person performed in the territory of the Russian Federation directly after the labor accident before recovery of working capacity or establishment of permanent loss of professional working capacity (further - treatment of insured person), acquisition of drugs, products of medical appointment and individual care, the stranger (special medical and household) leaving for insured, including performed by members of his family;

journey insured, and v3 necessary cases and on the drive of the accompanying his face for receipt of separate types of medical and social resettlement (treatment directly after the taken place heavy labor accident, medical rehabilitation in the organizations rendering sanatorium services, receipts of the special vehicle, the order, fitting, obtaining, repair, replacement of artificial limbs, prosthetic and orthopedic products, orthoses, technical means of rehabilitation) and in case of the direction his insurer in organization of medico-social examination and in the organization performing examination of communication of disease with profession;

medical rehabilitation in the organizations rendering sanatorium services, including in the permit including payment of treatment, accommodation and food insured, and in necessary cases payment of journey, accommodation and food of the accompanying his face, leave allowance insured (over the annual paid leave established by the legislation of the Russian Federation) for the entire period of its treatment and journey to the place of treatment and back;

production and repair of artificial limbs, prosthetic and orthopedic products and orthoses,

ensuring rehabilitation with technical means and their repair;

providing with vehicles in the presence of the corresponding medical indications and lack of contraindications to driving, their routine maintenance and overhaul repairs and payment of expenses on fuels and lubricants;

professional training (retraining).

According to Item 2 of article 8 of the Federal Law of 24.07.1998 of N125-FZ payment of the additional expenses provided by the subitem 3 of Item 1 of the specified Article, except for payments of expenses on treatment of the taken place heavy labor accident insured directly after, is made by the insurer if by organization of medico-social examination it is determined that insured needs according to the program of rehabilitation of injured labor accident and occupational disease the specified types of the help, providing or leaving.

According to Provision Item 5 the insurer makes the decision on payment of expenses on acquisition of drugs, products of medical appointment and leaving based on the statement of insured person (his authorized representative) and according to the program of rehabilitation of injured labor accident or occupational disease, to the constituted insured person of bureau (the main bureau, Federal bureau) of medico-social examination with participation of the insurer in the established form.

The specified decision is made by the insurer within 10 days from receipt date of the statement of insured person (his authorized representative) with all necessary documents (their verified copies) determined by the insurer for each insured event.

2. According to Provision Item 14 the amount of treatment of insured person is determined by the medical commission of the medical organization.

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