Social Security System in Thailand Policy and Planning Division Social Security Office
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1 Social Security System in Thailand Policy and Planning Division Social Security Office
2 Outline Social Security Scheme in Thailand: Introduction and Historical Background Administration of the SSO Social Security Fund & Workmen s Compensation Fund - Administration - Source of funds - Benefits 2
3 Social Security Scheme in Thailand: Introduction & Historical Background 1954 : Social Security Act (not to implement) 1956 : Labour Act - Employer provides for employee : employment injury, maternity and sickness 1958 : Ministerial Decree - Employer pays 30 days sick and maternity leave 3
4 Social Security Scheme in Thailand: Introduction & Historical Background (Cont.) 1974 : The first insurance scheme was implemented Workmen s Compensation Fund - Coverage (Compulsory) 1990 : Social Security Act (amendment 1994 and 1999) 1994 : Workmen s Compensation Act 4
5 Social Security Act Sep., 1990 : Social Security Act was implemented - Compulsory - Non work- related Coverage & Benefits Stage 1: enterprises with 20 or more employees - 4 types (sickness, maternity, invalidity, death) Stage 2: enterprises with 10 or more employees old-age pension, child allowance Stage 3: enterprises with 1 or more employees unemployment 5
6 Legislation Social Security Act 1990, 1994, 1999 Workmen s Compensation Act
7 Administration Ministry of Labour Social Security Office (SSO) Sep 1990 Secretary - General Social Security Fund Workmen s Compensation Fund Social Security Committee Medical Committee Appeal Committee Workmen s Compensation Committee Medical Committee 7
8 Social Security Fund (SSF) Objective: to guarantee benefits for insured persons to relief difficulties Sickness Maternity Child allowance Invalidity Death Old age pension Unemployment 8
9 Coverage Enterprises with 10 or more employees throughout the country (Since 1993) Extend the coverage to enterprises with 1 or more employees throughout the country (Since 1 April 2002) 9
10 Administration of SSF 1. Social Security Committee (20 members) 5 representatives (employer/ employee/ gov.) 5 extraordinary experts Major Duty : to advice on policy and administration to the SSO 2. Medical Committee (16 members) Extraordinary experts in medical services Major Duty : to advise on medical care 10
11 3. Appeal Committee (13 members) Extraordinary experts in legal affairs, medical services, social security administration, labour affairs and 3 representatives from employers and employees Major Duty : to consider and make decision on the claim submitted by IPs who dissatisfied with the order of the competent official Administration of SSF 11
12 Source of Fund (SSF) Employers Employees Government 12
13 Contribution Rates Categories Employers Employees Government Sickness Maternity Invalidity Death 1.5 % 1.5 % 1.5 % Child Allowance Old Age Pension 3 % 3 % 1 % Unemployment 0.5 % 0.5 % 0.25 % (Contributions are calculated from wage base 1,650-15,000 baht / month) 50 USD 455 USD 13
14 Current Benefits Sickness Maternity Invalidity Death Child allowance Old age pension Unemployment 14
15 Current Benefits Sickness Qualifying Conditions 3 months contribution within last 15 months Medical Care Free of charge at registered hospital (includes prescribed medicines) Cash Benefit 50% of wages 90 days each time max. 180 days/year max. 365 days for chronic cases
16 Medical Care Provision Payment by capitation system Flat rate 1,404 Baht/ person/ year (monthly payment) Utilization rate High cost care Risk adjusted capitation 16
17 Medical Care Provision 242 main contracted hospitals in 2011 Public 152 Private 90 Subcontracted Hospitals/ 2,141 Networks 17
18 Current Benefits Maternity Qualifying Conditions 7 months contribution within last 15 months Medical Care 13,000 Baht cash (max. 2 confinements for each insured person) Cash Benefit 50% of wages 90 days (max. 2 confinements for each insured person)
19 Current Benefits Invalidity Qualifying Conditions 3 months contribution within last 15 months Medical Care Reimbursement up to 4,000 Baht/month Cash Benefit 50% of wages for the whole life
20 Current Benefits Death Qualifying Conditions 1 month contribution within 6 months before death Cash Benefit 1. funeral grant 40,000 baht 2. grant fund for survivor contribution > = 10 yrs. receive grant fund of 5 month wages contribution 3-9 yrs. receive grant fund of 1.5 month wages
21 Current Benefits Child allowance Qualifying Conditions 12 months contribution within last 36 months Cash Benefit lump sum 400/month/child * children age < = 6 * not more than 2 children at a time
22 Current Benefits Old age pension Qualifying Conditions Retirement age 55 year Contribute more than 180 months Contribute more than 12 months but less than 180 months Contribute less than 12 months Cash Benefit Pension 20% of average wage of the last 60 months and 1.5% per additional 12 months of contributions above 180 months Lump sum equal to contribution from employee and employer plus interest Lump sum equal to contribution from employee
23 Current Benefits Unemployment Qualifying Conditions 6 months contribution within 15 months before unemployment must register at the Public Employment Office as job seeker within 30 Cash Benefit laid off insured persons receive 50% of wages up to 180 days within 1 year voluntarily resign receive 30% of wages up to 90 days within 1 year days after being unemployed
24 Enterprises & Insured Persons as of 30 June 2012 Enterprises 406,445 Insured Persons 10,999,864 24
25 SSF Establishments & Insured Persons Year Establishment (places) Insured Persons (million persons) , , , , , , , ,
26 Workmen s Compensation Fund (WCF) Objectives To guarantee compensation, for employees to relief difficulties in cases of accident and disease from work-related To provide rehabilitation so that workers suffering from disability can earn their living To be a measure of occupational safety promotion 26
27 Administration Committee of WCF Workmen s Compensation Fund Workmen s Compensation Committee (14 members) Medical Committee (15 members) 27
28 Source of Fund (WCF) Employer solely pay contributions 1 st 4 th year : contribution rate varies from % of payroll per year depending on the risk classification or types of business 5 th year : contribution rate depends on experience rate and degree of loss 28
29 WCF BENEFITS 1. Medical Services 45,000 Baht (additional cost up to another 300,000 Baht on some condition ) 2. Cash Benefits 60 % 2.1 Temporary disability (1 yr) 2.2 Partially disability (10 yrs) 2.3 Totally disability (15 yrs) 2.4 Death (8 yrs) + funeral grant 3. Funeral grant 100 times highest minimum daily 4. Rehabilitation Services wage (206 Baht) = 22,100 Baht Medical and vocational rehabilitation (Max. of 20,000 Baht) Operation charge (Max. of 20,000 baht) 29
30 THE ORGANIZATION STRUCTURE OF THE SOCIAL SECURITY OFFICE SECRETARY GENERAL Benefits Bureau Personnel Administration Division Information and Communication Technology Bureau Office of the Workmen s Compensation Fund Policy and Planning Division Social Security Area Office, Bangkok (Area 1 12) Medical Service System Management Bureau Industrial Rehabilitation Centre Pathum Thani, Rayong, Chiang Mai, Khon Kaen Management System Development Group The Office of the Extension of Social Security to the Informal Sector Provincial Social Security Office (77 Provinces not include Bkk) Ministerial Regulations Division Internal Division Legal Affairs Division Office of the Secretary Finance, Accounting and Investment Bureau Inspection Bureau Contributions Bureau Research and Development Division Training Division Office of Investment Management Information Centre Finance Division Internal Audit Group 30
31 31
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