Latest update April 24th, 2024 12:59 AM
Apr 30, 2013 News
During 2011, a total of 43,978 claims were made and processed for sickness benefits. Of that number 22,784 were disallowed and 21,194 were paid out. This information was contained in the National Insurance Scheme 2011 annual report.
Another 7,704 or approximately 34 percent were for spells of less than four days. It was further noted that 7,757 claimants were paid full wages by their employers and another 432 provided insufficient information for the processing of their claims.
According to the report 2,674 of the persons who submitted claims did not satisfy the qualifying conditions for the receipt of benefits. Of the remaining claims unpaid, 163 claimants had submitted duplicate claims, and 1,689 were late submissions. It was further noted that 295 had received payments for the maximum period of 26 weeks and 388 were over the age limit of the benefit.
In addition, the report stated that three were overpaid on previous claims and 86 had submitted invalid medical certificates. A total of 1,593 were invalid claims.
In relation to the 21,194 claims which were paid 12,535 or approximately 59 percent were men and 8,659 or approximately 41 percent were women.
A further analysis showed that 20,049 of the claimants were employed and 1,148 were self employed. The ages of the recipients ranged from 17 to 60 years old. An age analysis revealed that 10,283 or approximately 49 percent of the recipients were between the ages of 21 and 40 years, whereas 10,625 or approximately 50 percent were in the 41 to 60 age group.
Additionally the report stated that some 286 or approximately one percent were between the ages of 16 and 20 years old.
The average age of the male recipient was 42 years and the female was 38 years. The report stated that an analysis showed that some 6,463 arose from workers in the sugar sector; while another 14,731 were combined from the other remaining industries.
Industrial benefits branch ….
A total of 2,695 claims for injury benefit were processed during 2011. Of this total, 848 were disallowed and another 1,847 were allowed. An examination revealed that 36 related to claimants who had submitted duplicate claims. Another 15 related to claimants whose medical certificates were deemed invalid.
An additional 65 claimants did not provide sufficient information for the processing of the benefit. It was further noted that 270 related to claimants who were incapacitated for less than four days and another 54 claimants had submitted their claims late.
In addition to that, some 50 were as a result of the claimant’s non incapacity to work and 162 were related to claimants who were paid full wages by their employers. Further, of the 1,847 spells which were paid 1,810 were terminated upon full recovery of the insured persons. The average duration of these spells was approximately 14 benefit days.
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