Employees

EMPLOYEES

You might have a claim with either: The Compensation Fund, Rand Mutal or Federated Employer's Mutal Assurance

ARE ANY OF THESE QUESTIONS APPICABLE TO YOU?

Are you an employee that was injured whilst on duty?

Did you contract a disease from your workplace?

Were you in a motor vehicle accident while you were driving for your company?

YOU MIGHT HAVE A CLAIM

You might have a claim with either:

The Compensation Fund

Rand Mutal

Federated Employer's Mutal Assurance

RIGHT OF EMPLOYEE TO COMPENSATION

If an employee meets with an accident resulting in his disablement or death such employee or the dependants of such employee shall, subject to the provisions of COIDA, be entitled to the benefits provided for and prescribed in COIDA.

COMPENSATION CATEGORIES

  • TEMPORARY TOTAL DISABLEMENT (TTD)

    • If the worker is off work for 3 days or less, no compensation will be paid – it is advised to use the employees sick leave for these instances.

    • If the worker is off for more than 3 days, the worker gets compensation which also covers the first 3 days.

    • Temporary disability can be total or partial:

    • Total means the worker is unable to work for a while. The worker will get ¾ (75%) of the normal monthly wage as compensation. 


    • The formula is:

    Monthly wage  Monthly wage * 75 ÷ 100, if the worker is paid monthly

    Weekly wage  [(weekly wage * 4) + (weekly wage ÷ 3)] * 75 ÷ 100


    • Partial means the worker can go to work, but on light duty for fewer hours. If the worker earns less doing the lighter work, he or she will get ¾ of the difference between the normal and reduced monthly wage.

    • Note: The 75% is the minimum payment, an employer can pay up to 100% if he/she wishes.

    • TTD is payable for the first 3 Months that the employee is booked off.

    • These monies paid for the first 3 Months, the employer can claim back from the fund in terms of Section 47 of COIDA.

    • After the said 3 Months, if the employee is still off duty, the Compensation Fund will take over the 75% payments. I.e from the fourth month.

    • This is where it is extremely important to ensure all the correct paperwork are submitted, otherwise, your employee might sit without a salary.

    • TTD is payable for the first 12 months, but if the injury or disease continues, it can be opened for payment for another 12 months.

    • During this period, the Compensation Fund pays ALL medical expenses of the employee.


  • PERMANENT DISABILITY (PD)

    • Permanent disability means that a worker never fully recovers from the injury or sickness.

    • The permanent disablement will be decided by a medical practitioner and submit his medical reports to the doctors.

    • The Compensation Fund has a panel of its own doctors to decide the percentage of disability in terms of Schedule 2 of the Act.

    • Compensation for permanent disability is paid either as a monthly pension or as a lump sum:

    If the injury is measured as more than 30%, the worker gets a monthly pension.

    If the injury is 30% or less, the worker gets a once-off lump sum.

    • Monthly Pension formula:

     [monthly wage * (75 ÷ 100)] * (percentage disability ÷ 100)

     This amount will be paid once a month for the rest of the worker's life.


    The formula for the lump sum is:

    (monthly wage * 15) * (percentage disability ÷ 30)

    This amount will be paid once only and there will be no further payments.

    • It is important to know that pensions will only be paid out once a Final Medical Report has been completed by the treating doctor.


  • DEATH

    • The widow/er:

    Lump sum payment: 2 x monthly pension of worker (the pension is the amount the worker would have been paid if he/she had been 100% disabled)

    Monthly pension for life: 40% x monthly pension of worker, paid every month

    • Each child under the age of 18 years (including illegitimate, adopted and step children) is entitled to:

    20% x monthly pension of worker, paid every monthly until the child is 18 years old

    The pension can continue for longer if the child is mentally or physically handicapped

    • Other dependants, if there is no widow/er or children (parents, sisters, brothers, half-sisters, etc.):

    full dependants: get the same as the widow.


    The total monthly pension per family cannot be more than the pension the deceased worker would have received if he/she was 100% disabled (i.e. 75% of the monthly wage).


  • MEDICAL EXPENSES

    • All medical expenses will be paid for a maximum of two years.

    • After 2 years, a claim can be re-opened where further medical treatment is needed.

Schedule 2 of COIDA give you the employer an idea as to the permanent disability percentages the Compensation Fund may award. 
DOWNLOAD SCHEDULE 2 of COIDA CONTACT NOW →
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