The Key To A Successful Employment Injury Insurance System

Module 1. Introduction to the main concepts of Employment Injury Protection

This module presents the rationale of employment injury protection and its importance for sound and peaceful industrial relations. The meaning of employment injury protection, what it takes and concepts such as employment injury protection adequacy, affordability, responsibility and implementation are briefly explained. A brief overview of how it is financed, the level of benefits covered and the administration required is presented./p>

Module 2. A comparison between Employers' Liability and Employment Injury Insurance approaches

This module addresses the main forms of organisation of employment injury schemes, namely the employers' liability (EL) system and the employment injury insurance schemes (EIIS). It presents the natural evolution of employment injury schemes through history as well as their current challenges.

The module then highlights the main concepts and the advantages of employment injury insurances schemes (EIIS) for the protection of workers, for the interests of employers and for social peace at large.

Module 3. EII process and coordination with other social security benefits

Why should we go beyond the good will of workplace's stakeholders to provide employment injury protection even if they have traditionally worked out some way to compensate injured workers or their family?

This module examines the advantages of providing a legal framework to employment injury protection, which also applies to other social security measures. Moreover, it will discuss the tripartite mechanism in the governance of EISS scheme will also be discussed, as well as the types of institution that the legal framework calls for implementing EI protection. Legal and institutional frameworks vary in accordance with each country’s cultural, historical and political backgrounds.

Module 4. Social dialogue and EII schemes

This module highlights the lead role of social dialogue in the process of setting up and managing an Employment Injury Insurance Schemes (EIIS). It first outlines the usual positions and concerns of social partners and government involved as well as their incentives to cooperate.

Social dialogue is examined under an Employers’ Liability system and Employment Injury Insurances Scheme. Taking the example of the introduction of a new EIIS, the module describes in detail the five usual stages of tripartite discussions.

Module 5. ILO instruments on EII and protection

This module provides a basic presentation of relevant ILO instruments and argues for their added-value in terms of policy and legislative framework setting at national level. It presents a detailed reading of the most important conventions in relation to employment injury protection, i.e. C. 102 and C: 121. It provides detailed information on key notions such as coverage, entitlement, benefits, contribution rate. Finally, it highlights the important connection of protection with prevention and rehabilitation.

Module 6. OSH and health related issues

This module provides a basic introduction of the occupational safety and health concepts and fundamentals according the relevant ILO instruments and good international practices. It also presents the ILO guidelines for the development and improvement of a national system for recording and notification of the occupational accidents and diseases, and for the development of an ILO List of Occupational Diseases. Finally, it highlights some of the more important functions of the medical staff of the EII, particularly, the criteria for the identification and recognition of the occupational diseases and the concepts, procedures, responsibilities and instruments for assessing impairment and disability of injured workers considering selected good international practices.

Module 7. Financial and rating systems

This module explores the options and the factors to consider when it comes to financing an EIIS (the Financing System) and choosing a method to assess the risks in order to determine the contribution rates (the Rating System).

The first part, about financing, defines the basic notions (such as contribution rates, premiums) and some more advanced concepts (such as financial equilibrium, intergenerational equity). It discusses also the possible funding sources. Three financing methods are explained in their principles. The role of the actuary is raised.

The second part of this module studies the different methods used to assess the risk and thus determine the uniform or differentiated contribution rates among those who are covered by the scheme.

Module 8. Investment policy

This module presents the central role of the investment policy in an employment injury insurance scheme. Considerations related to the elements of an investment policy, the relationship between the investment and the liability and risk/reward balance are presented in this chapter. The module also presents the role of a funding policy and the appropriate measures to monitor the performance of the investment policy.

Module 9. Main elements of an EII legal framework

This module studies the importance of a proper legal framework as the statutory base of all future policies. The module lists the main elements that should be mentioned in an EIIS law and how one should make it robust and coherent.

The module then discusses about the most appropriate forms of legal instruments to be used (laws, decrees, regulations, directives) depending on what EII related issues are being addressed.

Module 10. Governance and institutional issues

This module presents the structure of a typical employment injury institution and principal elements of governance of these institutions. The structure of the institution, guidelines related to best practices in governance and its related structure are explained in this module. The module also presents examples of existing institution in place, including potential structure of local offices, and concepts of financial governance are also part of the training of this module.

Module 11. Information technology and administrative processes towards digitization

To take advantage of opportunities created by new digital technologies, you need to create an institutional digital strategy.

Module 12. Compliance and evasion related issues

This module presents compliance and evasion related issues that all employment injury insurance scheme face. Vital elements of these schemes, the causes of evasion and their impact are explained in this module. The module also presents examples of measures to enforce compliance in the scheme and case study related to compliance.

Module 13. Linkages between prevention, compensation and return to work

p class='lead'>Module 13 states that an effective EI system should be curative, preventive and re-integrative. This module hence explores the linkages between Compensation, Prevention and Return to Work.

This module assesses the positive impact of prevention and return to work policies (on top of compensation) on employment injury protection, in particular as regards the reduction of overall costs and impact of work-related injuries and diseases. This module is evidence-based and uses several documented case studies.

Module 14. Extension of EII scheme coverage to workers in informal economy

This module aims to explain the main causes and consequences of informal economy and to analyse different approaches to combat informality. It also illustrates the role of regulatory environment and labour administration and inspection to help the transition towards formality. Finally, it focuses on how self-employed are covered under EISS schemes in several countries and the contribution rate needed to cover the costs of this category of workers.

Module 15. Extension of EII scheme coverage to migrant workers

This module focuses on migrant workers, illustrating their characteristics and needs in social security. It then explains how social security coverage can be extended to them.

Most of the content on social security coverage is drawn from HANDBOOK on the extension of social security coverage to migrant workers published by the ISSA in 2014.[1] This document identifies key barriers to expand and improve social security coverage to migrant workers, and presents practical measures to address them. Additionally, it covers social security globally.

The module also provides several examples of EI benefits for migrant workers.

Module 16. Global supply chain and EII

This module puts into perspective the importance of employment injury protection within the global supply chain. It provides data provides and helps understanding the essential role of employment injury protection both for workers and employers. The module also shows how employment injury protection contributes to the realisation of the United Nations Sustainable Development Goals.