THE SOCIAL SECURITY ORGANISATION OF MALAYSIA (SOCSO) OVERVIEW INTRODUCTION LEGISLATION & ADMINISTRATION COVERAGE & BENEFITS FINANCIAL MANAGEMENT COOPERATION WITH ILO POLICY RESPOND CHALLENGES PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) DEFINITION OF SOCIAL SECURITY “The protection which society provides for its members, through a series of public measures, against the economic and social distress that otherwise would be caused by the stoppage or substantial reduction of earnings resulting from sickness, maternity, employment injury, unemployment, invalidity, old age and death; the provision of medical care; and the provision of subsidies for families with children”. - ILO PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) INTRODUCTION 9. Family 1. Old-age 8. 2. Disability Social Security Benefits Unemployment 7. 3. Death Employment Injury 4. Sickness 5. Maternity 6. Medical Care PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) INTRODUCTION Labor Department Social Insurance Work related Injury/ diseases Employment Act Welfare Department - Universal - Means-tested JPA (Public Services Department (Public Sector Pension Scheme) Employee Provident Fund SOCIAL SECURITY IN MALAYSIA PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) LEGISLATION & ADMINISTRATION ORGANIZATIONS RESPONSIBLE Cooperation between Employers, Employees and Government SOCSO Malaysia was set up in 1971 To implement, administer and enforce The Employees' Social Security Act, 1969 and the Employees' Social Security (General Regulations) ,1971. SOCSO has 46 branches in throughout Malaysia PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) VISION To become the leading Social Security Organization in the World PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) MISSION SOCSO is committed to provide social security for all Malaysian workers and their dependents through the principles of social insurance through: Prompt, efficient and quality service; Periodical review of the benefits system; Prudent financial and investment management; and Promoting OSH PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) SOCSO'S STRATEGIES SOCSO is committed to provide social security for all Malaysian workers and their dependents through the principles of social insurance through; •Giving highest priority to the interest of the nation and the organization. •Providing prompt, efficient, quality, fair, precise, speedy and economical services to the clients. •Improving the skills and expertise of the SOCSO personnel besides utilising advanced technology to upgrade client services. •Periodical review of the benefits system •Maintaining and strengthening the viability of the SOCSO Fund •Prudent financial and investment management. •Fostering goodwill and noble values amongst SOCSO's personnel. •Co-operating with all the parties involved in the provision of social security protection. PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) COVERAGE • Employers Liability • Employee – Who employs one or more employees – required to register & contribute monthly for all employees – All employee irrespective of the employment status, permanent, temporary etc – Must register irrespective of age; Age 55 and above will continue to be protected (EIS-e’yer) – Earns a monthly wage RM3,000 or less – More than RM3,000: • Previously registered, must compulsorily continue • Not previously registered, can opt to do so. • Exemption: – – – – Government employees Domestic servants Self employed persons Foreign workers PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) COVERAGE • EMPLOYMENT INJURY SCHEME (EIS) – Protection for accidents: • While traveling • Arising out and in the course of employment • Occupational disease • INVALIDITY PENSION SCHEME (IPS) – Serious disablement or morbid condition of a permanent nature that is either incurable – Unable to earn at least 1/3 of normal person – 24 hours coverage – Against invalidity or death due to any cause not connected with his employment PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) COVERAGE 383,215 390,000 380,000 370,000 360,000 350,000 340,000 330,000 320,000 310,000 300,000 290,000 • ACTIVE EMPLOYERS 389,344 366,312 349,413 335,335 326,840 2004 2005 2006 2007 2008 2009 • ACTIVE EMPLOYEES PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Employment Injury Schemes Invalidity Pension Schemes • Medical benefit • Temporary disablement benefit • Permanent disablement benefit • Constant attendance allowance • Dependant’s benefit • Funeral benefit • Rehabilitation benefit • Invalidity pension • Invalidity grant • Constant attendance allowance • Survivors pension • Funeral benefits • Rehabilitation • Educational loan PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Employment Injury Schemes • Medical benefits – Occupational disease – Treatment at SOCSO panel clinic @ government Hospital/clinic – Free – socso – Serious injury – • to nearest government hospital • 2nd class ward-inpatient • Temporary disablement benefit – Unfit for work not less than 4 days – Only during medical leave – Daily rate = 80% of daily wage or min RM10 and max RM78 PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Employment Injury Schemes • Permanent disablement • Constant attendance benefit allowance – Cash – certified of permanent disablement – Loss 100% = 90% daily @ min RM10 – Loss 20% or less = lump sum payment – Exceed 20% = 1/5 daily rate into lump sum and balance = monthly pension – Can continue work – Permanent total disablement (100% loss) – Severely incapacitated & requires personal attendance of another person – 40% of rate total disablement, max RM500 • Dependant’s benefit – If employees dies – 90% of the daily wage PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Employment Injury Schemes • Funeral benefit – RM1,500 – As resulted of EI or while receiving disablement benefits – Next of kin @ person – WIL • Rehabilitation benefit – Facilities for vocational & physical rehabilitation – training PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Qualifying condition Invalidity Pension Schemes • Has not completed age 55 • Certified by medical board • Fulfilled the qualifying condition contribution • Full qualifying condition – At least 24 months within 40 consecutive months – 2/3 = at least 24 – 50% - 65% of monthly salary • Reduced qualifying condition – 1/3 = at least 24 – 50% Minimum RM250 PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Invalidity Pension Schemes • Invalidity grant – Paid for those who are not qualified for Invalidity pension – At least 12 months – amount of the total contributions – Outright payment • Constant attendance allowance – Recipient of invalidity pension – 40% of the rate invalidity pension – Max RM500 per month PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) BENEFITS Invalidity Pension Schemes • Survivor’s pension • Funeral benefits – Only if employee dies irrespective of the cause of death • While receiving invalidity pension • Not more than 55 years – Rate: • Invalidity pension = equal • If not = 50% - 65% – While receiving invalidity pension – Before 55 age – As EIS PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) COOPERATION WITH ILO Since 1971, SOCSO has formed a strategic cooperation with ILO in the form of technical and legal advice that covered a broad range of policy and strategic issues, including social security, occupational safety and health, gender equality in employment, and other aspects of labour standards. Recently, SOCSO and ILO began the Relief fund project and study on unemployment insurance . The ILO also supports actuarial work with SOCSO for every five years and this is a ninth actuarial study. PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) FINANCIAL MANAGEMENT Year Total Fund Income 2007 2008 2009 2010 15517.8 16359.7 17702.6 18625.2 1689.5 1834.7 1868.8 2007.8 884.9 391.6 1015.2 870.8 32.1 4.3 17 28.5 2606.5 2230.5 2900.9 2907.1 Liabilities 1070.2 1198.9 1366.9 1699.7 Operating Total Excess 165.4 189.7 191.2 238.8 1235.1 1388.6 1558.1 1938.5 1370.9 841.9 1342.9 968.6 Contribution Investment Return Others Total Expenditure PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) FINANCIAL MANAGEMENT Total Of Contribution & Benefit Payment 8 PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) FINANCIAL MANAGEMENT STATISTICS TOTAL RECIPIENT 350,000 315,172 290,463 268,663 264,640 272,367 324,798 300,000 250,000 200,000 Recipient 150,000 100,000 2010- 351,433 50,000 0 2004 2005 2006 2007 2008 2009 PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) FINANCIAL MANAGEMENT STATISTICS PAYMENT OF BENEFIT 1,186.10 1200 1000 800 817.53 883.9 959.59 1,061.36 600 Mil 400 200 2009-1,354,128 2010-1,678,160 0 2004 2005 2006 2007 2008 PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) STRATEGIES New approach of Social Security Compensation Oriented (Pay workers to stay off work) defined as total replacement of income with dynamic Social Security through Disability management (Pay workers to return to work). The introduction of this comprehensive approach was in response to the need to cover a more diverse employee base. PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) CHALLENGES • • • • • • • Increasing cost Investment issues Efficiency in processing claims Pressures from mass media Pressures from NGOs Migrant workers Fraudulent claims PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) PROMOTION OF SAFETY AND HEALTH • To play a complementary role in the promotion of OSH in Malaysia • To reduce occupational injuries and diseases through Primary, Secondary and Tertiary Prevention • To educate both employers, employees and public on safe and healthy workplace. • To co-operate with other bodies responsible for promoting or policing O.S.H (like NIOSH, DOSH,NGO’S) to bring awareness of the importance of safety and health • To gather and provide OSH data on Occupational injuries and diseases for academic studies. PERTUBUHAN KESELAMATAN SOSIAL / (SOCIAL SECURITY ORGANISATION ) THANK YOU