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Chapter Law Content

CHAPTER - 4 INSURANCE PAYMENT
Article 12
The insurance payment is computed according to the Insurance Basic Point of the month when the insured person has perished as its standard.
Article 13
The rules of the death indemnity payment are as follows:
1- Died in a Battle: Pay 48 basic points.
2- Died on Duty: Pay 42 basic points.
3- Died of Sickness or Accident: Pay 36 basic points.
If the death indemnity payment is lower than the deserved retirements, the payment should be paid according to the retirements amount.
Article 14
Those who miss on the ground for more than one year, at the sea or in the air for more than half a year while in action, while on duty or accident and can not be located, are considered as died in action, on duty or accident.
Article 15
The rules for the payment of disability benefits are as follows:
1.Become disabled in combat:
Level 1: Pay 40 base points.
Level 2: Pay 30 base points.
Level 3: Pay 20 base points.
Severe functional disability: Pay 10 base points.
2.Become disabled while on duty
Level 1: Pay 36 base points.
Level 2: Pay 24 base points.
Level 3: Pay 16 base points.
Severe functional disability: Pay 8 base points.
3.Become disabled due to illness or accident:
Level 1: Pay 30 base points.
Level 2: Pay 20 base points.
Level 3: Pay 12 base points.
Severe functional disability: Pay 6 base points.
The levels of disability stated above shall be determined by the Ministry of National Defense.
Article 16
The rules for the payment of retirement benefits are as follows:
1.For those who have been insured for 5 years, 5 base points will be paid.
2.For those who have been insured for more than 5 years, 1 base point will be added for every additional year starting from the 6th year up to the 10th year.
3.For those who have been insured for more than 10 years, 2 base points will be added for every additional year starting from the 11th year up to the 15th year.
4.For those who have been insured for more than 15 years, 3 base points will be added for every additional year starting from the 16th year.
5.For those who have been insured for 20 years, 1 base point will be added for every additional year up to the limit of 45 base points at maximum.
For those who have been insured for less than 5 years and have never received any disability benefits, subsidies for parental leave without pay, or funeral expense of the dependents, the insurance premium paid by the insured will be refunded in accordance with the premium schedule of the latest payable month.
Article 16-1
An insured person who applies for leave without pay shall decide at the time of application whether to cancel or continue the insurance during the period of leave without pay, and such decision shall not be altered once made.
Insured persons who have applied for parental leave without pay and have chosen to continue the insurance may request child care subsidy for parental leave without pay, provided the insured person has been insured for more than one (1) year and has child(ren) under three (3) years of age.
The subsidy under the preceding paragraph shall be calculated based on 60% of the average insurance base points for the six (6) months prior to the month the insured person begins parental leave without pay and shall be paid monthly during the period of parental leave for a maximum period of six (6) months. However, if the leave is less than six (6) months, the subsidy will be paid based on the actual number of months on leave; for leave that lasts less than one month, the subsidy shall be calculated based on the actual number of days on leave in that month.
For insured persons who nurture two or more children at the same time, subsidy may be granted to one (1) child only.
Article 16-2
For those insured that had opted to continue with the Insurance during the period of Parental leave without pay but have deferred the Insurance premium and applied for the subsidy for Parental leave without pay, the insured person should pay off the part of the deferred insurance premium that the insured person is personally liable for; For those that have not paid off the abovementioned premium, a deduction will be made from the insurance payment receivable.
The abovementioned deferred payment of the Insurance premium may be deferred for three (3) years.
For those insured that have applied for leave without pay rather than for the reason of Parental leave and had opted to continue with their insurance during the period they have applied for leave without pay, the insured person shall be liable for the entire insurance premium.
Article 16-3
When the insured’s dependents die due to illness or accidents, the funeral expense of the dependents shall be granted in accordance with the following criteria:
1. Parents and the spouse, 3 units will be paid.
2. The funeral expense of the children are as below:
(1)In case that the child was at least twelve years of age and under the age of twenty-five, 2 units will be paid.
(2)In case that the birth registration of the child had been completed and under the age of twelve, 1 unit will be paid.
In case there are more than one insured who are qualified to claim the same funeral expense of the same dependents, they shall negotiate internally and elect one of them with proof to claim the payment. After receiving the payment, alteration is disallowed.
When the insured’s father, adopted father, mother, or adopted mother die, the insured is entitled to claim the payment of funeral expense of the dependents for the death of one of them only.
Article 17
If the insured person has encountered two kinds of incidents be cause of the same reason within six months, the insurance compensation will be paid based on the highest one.
Article 18
An insured person having any of the following situations will not be paid:
1.Having insured for less than 30 years and ceased to pay the insurance premium without any reason.
2.Die by suicide or become disabled while not in combat or on duty, or not due to illness.
3.Being sentenced to death because of a crime.
4.Being convicted of treason or a crime under the chapter of Offences Against the Allegiance to the National of the Criminal Code of the Armed Forces with the final and binding judgment rendered, unless the crime was committed out of negligence.
For the personnel mentioned above, except for having received a final judgment of property confiscation, or having collected disability benefits, subsidy for parental leave without pay or funeral expense of the dependents during the insurance period, the insured person or the beneficiary can apply for refund of the self-paid portion of insurance premiums without any interest.
Article 19
An insurance beneficiary having any of the following situations will lose his/her right to claim insurance benefits:
1.Lose citizenship of the Republic of China.
2.Being convicted of treason or a crime under the chapter of Offences Against the Allegiance to the National of the Criminal Code of the Armed Forces with the final and binding judgment rendered, unless the crime was committed out of negligence.
3.Intentionally cause the death of the insured person.
4.Fail to collect insurance benefits in more than 10 years from the date insurance benefits are approved without any reason.
Article 20
The insured who was missing in action, on duty, or in an accident and has returned to the troop or hometown after the insurance payment had been processed, shall report to the officer-in-charge, the Reserve Command of the county/city, or the local government with a clear statement. After consenting by the competent authority, the insurance payment received by the insured may not be recovered.
In case the insured or beneficiary received any payments by fraudulent acts, besides criminal punishment , he/she shall return all principals plus interests of the insurance payments.
The insured that returns to the troop prescribed in Paragraph 1 shall rejoin the Insurance.