What should organizations that award benefits from state social insurance funds take into account?
As part of the implementation of state control in the form of preventive and precautionary measures, over 9 months of 2019, the Vitebsk regional office of the Social Protection Fund of the Population conducted 164 monitoring activities on the issues of registration and issuance of temporary disability certificates and documents necessary for the appointment of benefits to families raising children. During the monitoring, violations of legislation were identified in 84 business entities.
Out of the total number of established violations in the registration of disability certificates, the following violations are most often committed:
- corrections made to the disability certificate were not certified by the signature and seal of the attending physician or the organization's seal "For disability certificates and certificates";
- the "Type of disability", "Regimen", "Conclusion on work capacity" fields of the disability certificate were not filled in;
- the "physician's signature, personal seal" field lacked the physician's signature and personal seal, and the "organization's seal" field did not have the imprint of the healthcare organization's seal "For disability certificates and certificates";
- a mark was not placed in the "Special marks" line of the disability certificate for working disabled individuals regarding the connection (or lack thereof) of the illness (injury) with the cause of disability, or the necessary mark was placed in another line of the disability certificate;
- the following fields on the reverse side of the disability certificates were not filled in:
the "Dates of application for benefits and appointment of benefits" fields for citizens who are disabled, victims of the Chernobyl disaster, or donors; the "special marks" fields of the disability certificates were not filled in (information about the date of injury was not entered, the record "protocol number and date of the commission meeting for benefit appointment" was missing;
- during oral explanations by employees about the circumstances of domestic injuries, the commission's decision lacked a description of the circumstances taken into account when appointing benefits (date, time, place, circumstances of the injury). Facts were also revealed when benefits were
temporary incapacity for work due to domestic injury were granted without employees explaining the circumstances of domestic injury and without a commission decision on the award of benefits.
We draw attention to the fact that during documentary audits conducted by the Fund's bodies, sums of expenses for the payment of benefits under disability certificates issued in violation of current legislation will not be accepted for set-off against the payment of mandatory insurance contributions.
When studying the documents required for the award of benefits to families raising children, the most common violations are:
-when awarding a childcare benefit for a child under 3 years of age, certificates of residence and family composition (copies of personal accounts) are missing, copies of documents are not certified in the manner prescribed by law.
Benefits for children aged 3 to 18 years during the period of raising a child under 3 years of age were awarded in the absence of certificates stating that the citizen is a student, and were also awarded to children who have reached the age of 18.
Benefits for children over 3 years of age from certain categories of families for a child with a disability were awarded after the period of disability ended.
We ask the heads of organizations, as well as specialists of accounting and HR departments, to pay attention to the above-mentioned violations and take measures to prevent violations of state insurance legislation in the future.
Vitebsk Regional Department of the Social Protection Fund of the Population.