Mission: To provide sustainable social security and promote occupational safety and health for all members through responsive schemes and services. Vision: To be a world class provider of social security
 
Friday, 25th July 2014

The Accident Prevention and Workers Compensation Scheme

Legislation

The Scheme was established, and is administered, in terms statutory Instrument 68 of 1990.

Objectives of the scheme

(a)Providing financial relief to employees and their families when an employee is injured or killed in a work related accident or suffers from a work related disease or dies thereof.
(b) Creating an awareness of, and promoting health and safety at all places of work.
(c) Encouraging adoption of health and safety legislation through factory and machinery inspection.
(d) Providing rehabilitation services to disabled employees so as to reduce their disablement and enable them to return to their former employment or otherwise prepare them for a useful and meaningful place in society

Contributions

The Scheme is employer funded, employees do not contribute. Currently all employers, except the Government, employers of domestic employees and informal sector employers are required by law to contribute to the Scheme.

Registration

When an employer commences business he/she is required to go to his/her nearest NSSA office to complete registration forms indicating the estimated earnings of his/her employees. The minimum insurance premium the employer is required to pay will be calculated using a risk factor dependent on the type of industry the company is involved in.  The insurance year runs from January 1 - December 31st.
           
Change of Business

Employers have the responsibility of keeping NSSA informed of any changes or       developments in their businesses. This will allow NSSA to adjust premiums and records in line with any changes as and when they occur.

Reporting Workplace Injuries

Once an employee is injured in a work related accident, the employer must immediately provide first aid before promptly transferring him/her to the nearest medical centre. The employer is then required to report the accident to the nearest NSSA Office after filling in the  relevant details on  form WCIF No. 14, which he/she should keep at his/her work premises at all times. In cases of serious/fatal accidents the employer should contact the nearest NSSA Office and the Police within 24 hours.
NB. All accidents must be reported within 14 days irrespective of whether the employee has completed treatment or not.
     
Benefits

The Accident Prevention and Workers' Compensation Scheme offers the following benefits:

A Short Term Benefits

 
(1)  Periodical Payments in Respect of Loss of Earning


         Periodical payments are meant to:

  • Provide compensatory income where this has been lost or stopped by work related accidents.
  • Guarantee continual payment of normal monthly wages for the first 30 days following an accident, and  a percentage thereof thereafter.

Documents Required When making a Claim

  1. Confirmation of return to work.
  2. Medical report, clinic card or doctor’s certificate showing off-duty period.
  3. WCIF 14.

(2) Medical Costs

 
NSSA pays all medical fees including transport, drugs and hospital using AHFoZ rates, besides providing artificial appliances.   
   
Documents Required when Making a Claim

  1. Receipts to prove payments made.
  2. Invoices.
  3. Completed WCIF 18 form.
  4. Quotations for artificial appliances.
  5. Hospital bills showing breakdown of services rendered


(3) Funeral Grant

In the unfortunate event of a member losing his/her life as a result of a work related accident, the Scheme currently pays out a maximum of $US200 towards funeral expenses. 
 

Documents Required when Making a Claim

  1. Certified copy of burial order or death certificate of the deceased worker.
  2. Certified copy of claimant’s national identity card, driver’s licence or valid passport.
  3. Certified copy on marriage certificate or original affidavit.
  4. Funeral expenses form.

(4) Lump Sum

Where an employee's injury results in permanent disablement, compensation will be paid to him/her as a lump sum if the disability is less than 30%.
A children's allowance for children up to the age of 19 years is included.


Documents Required when Making a Claim.

  1. Medical report.
  2. Worker’s national identity card, driver’s licence or valid passport.
  3. Children’s long version birth certificates.
  4. Certified copy of marriage certificate or original affidavit

B Long Term Benefits

(1) Employees’ Pension
In instances where an employee's injury results in 30% or more, permanent disability, compensation will be paid to the employee as a pension.

A children's allowance is included in employee's pension, for children up to the age of 19 years and /or those who are below 25 years, provided they are in full time education. The benefit may also be given to permanently disabled dependent children who are incapable of supporting themselves regardless of their age.

Documents Required when Making a Claim.

  1. Medical report.
  2. Worker’s national identity card, driver’s licence or valid passport.
  3. Children’s long version birth certificates.
  4. Certified copy of marriage certificate or original affidavit.

 

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