COMMENCEEMNT AND TERMINATION OF THE RIGHT TO BENEFITS
Social Security General Scheme (RGSS)

» The right to protection is initiated on the date of the presumptive diagnosis, save if the National Centre for the Protection Against Occupational Risks confirm that the sickness is related to a previous date

» The right to compensation for temporary disablement terminates with clinical discharge or with certification of permanent disablement, pursuant to the legislation applicable

» The right to benefits for permanent disablement or death terminates under the general terms defined for pensions of the SSGS, as well as in specific situations provided for in the law

» The termination of the employment legal relationship, regardless of the respective cause, including the reason for retirement, does not end the right to benefits

» Calculation and duration of benefits

» The amounts of the benefits correspond to the reimbursement of expenses actually incurred or to their direct payment, if the treatments and means used comply with requirements foreseen in the law

» The amount of indemnity for absolute or partial, temporary disablement is determined by the application of the percentage legally set to the reference compensation

» The reference compensation corresponds to the gross annual compensation due to a beneficiary in the 12 months, including the Holiday and Christmas allowances, prior to the termination of exposure to the risk or on the date of sickness certification that determines disablement, if this one precedes it

» In any case, benefit schemes of Public Employees Healthcare System (ADSE) shall not be used, either in the scope of an agreement with ADSE with healthcare providers or outside such agreement, under penalty of the loss of the right to reimbursement of expenses incurred

» The amounts of indemninty for absolute or partial permanent disablement, and death benefits are determined according to rules provided for in the law, variable, as appropriate

» Who grants benefits. Request

The grant of benefits due for temporary disablement for the work, for permanent disablement or death, the payment of charges resulting from treatments of injuries or sickness, as well as the grant of remaining rights provided for in the law fall upon the responsibility of the National Centre for the Protection Against Occupational Risks, institution for which shall be requested

» Articulation of benefits and of benefits with work

» The pension for permanent disablement may be accumulated with old age or disability pension, without prejudice to rules of accumulation specific of those systems

» The death allowance, as well as the pension for death are cumulated with the corresponding benefits provided for in the eventuality of death, only in the part in which these latter exceed the former

» It may not be accumulated with compensation resulting from the performance of professional activity, the compensation for absolute, temporary disablement, the pension for absolute, permanent disablement for any kind of work whatever and the pension for absolute, permanent disablement for the usual work, provided that, in this case, it deals with the same professional activity or of activity subject to the same risk of the occupational disease in relation to which is pensioner