Insurance Benefits - Related Questions


Q: What are the conditions for entitlement to old age pension? 

A: The insured is entitled to old age pension depending on his/her contributions periods from the application date of this law, whether they are regular or irregular in the following cases:

Termination of service of the insured on reaching sixty years of age or above as long as his service period is (180) months as minimum for male worker or on reaching fifty five years of age or above for the female worker as long as her service period is (120) months a minimum.

Termination of service of the insured before reaching sixty years of age as long as his service period is (240) months as minimum for male worker or before reaching fifty five years of age for the female worker as long as her service period is (180) months as minimum provided any of them reaches the age of forty five at least.

The pension due in this case would be reduced at a rate valuated according to the age of the insured (male or female) as per schedule 3 attached thereto provided the pension in this case should not be less than RO. 80/- per months.

The said reduced pension shall be due on the first day of the month in which the encashment application is submitted.

The referred reduction shall not be applicable in case of submission of encashment application by the insured or his/her beneficiaries for confirmation of disability or occurrence of death.


Q: What are the conditions for entitlement to pension for disability and death arising from non-occupational cause?
A: In case of the termination of the service of the insured due to non-occupational disability or death before reaching the age of sixty years for the male worker and fifty five years of age for the female worker or if the service expires due to death at any age, the insured or their beneficiaries will be entitled to the pension upon fulfillment of one of the following conditions: 

  1. If the contributions period reaches 6 consecutive months at least immediately before the occurrence of disability or death.

  2. If the disability or death did not take place after meeting the minimum limit of the contribution periods referred to under aforesaid clause (A) and any of the two insured discontinues contribution for any reason, he or his beneficiaries, as the case may be, are entitled to pension if the disability takes place within one year from the contribution discontinuation date and before reaching sixty years of age for the male worker or fifty five years of age for the female worker, or if the death takes place within one year from the contribution discontinuation date regardless the age, unless any of them meets the conditions for the entitlement to the pension stated provided for in the aforesaid old age pension, and if the said pension is better.

     

Q: How the pension for old age and death owing to non-occupational cause is computed?
A: The pension is computed @ 1/40 of the average monthly basic salary due to the insured on which basis the contribution is paid for the last five years of the contribution period or the contribution period if it is less multiplied by the number of the full contribution years with a minimum limit of RO. 80/- per month and maximum limit of 80% of the referred average.

The disability or death pension is also computed on the basis of (40%) of the contribution wage when the death or disability occurs or the old age pension, whichever is higher.



Q: From which source the insurance against the work-related injuries or occupational diseases is financed?
A: The insurance for the work-related injuries and occupational diseases is financed from the following sources:

  1. Monthly contributions paid by the employers to the Authority @ (1%) of the wages of their workers, and only the employer is responsible for payment of this contributions.

  2. Yields generated from investing the contributions referred to under the aforesaid clause.


Q: What are the due compensations and pensions for the work-related injury?

A: To answer this question, we have to differentiate between two cases: -

Firstly: In case of the partial permanent disability resulting from the work-related injury, which does not reach (30%) of the total permanent disability, the injured is eligible for lump sum compensation equivalent to (36) times of the monthly pension set for the partial permanent disability, which the insured was supposed to claim as per clause (A) of secondly below depending on the percentage of disability.

The inured worker is entitled to draw daily allowance for the work-related injury @ (75%) of the basic salary.

The employer is not allowed to terminate the service of the worker owing to the partial disability stated under the aforesaid paragraph.

Secondly: 
(A) In case of the partial permanent disability arising from work-related injury, which is equivalent to or above (30%) but it does not reach to total disability, the inured is entitled to pension equivalent to the percentage of that disability of the total disability pension. The injured is entitled to join his pension and wage without limitation as long as the injury does not reach to the total permanent disability level.

(B) However, if the work-related injury causes permanent total disability or death, the insured or his/her beneficiaries are entitled to monthly pension equivalent to (75%) of the contributable wage with a minimum limit of RO. 80/- per month or the old age pension, whichever is higher.


Q: Upon the death of the insured or pensioner, to whom the pension is paid and what are the entitlement conditions?

A: In case of the death of the insured or pensioner, the following beneficiaries are entitled to shares in the pension according to the following: 

Firstly: Group (A): It includes the sons and daughters and they are entitled to half of the due pension, which is distributed equally if they are more than one.

Secondly: Group (B): It includes the widow or widows (or the widower if the deceased is a female).

They are entitled to quarter of the due pension and it is distributed equally amongst the widows if they are more than one.

Thirdly: Group (C): It includes the father, mother, brothers and sisters and they are entitled to quarter of the due pension, which is distributed equally if they are more than one.

The above beneficiaries entitled to the pension are required to meet the following conditions:

  • The son: He should not be above twenty-two years of age with the following exceptions:

  1. The son whose disability to gain is established by a report from the medical Authority concerned, and the disability is ascertained every two years unless the medical Authority confirms that the insured might not recover, in which case it is not necessary to ascertain the case and the entitlement to pension shall subsist.

  2. The student at any educational level that does not exceed the university level provided he should not be above twenty-six years of age. 

  • The daughter: She should be unmarried and her right in the pension shall cease once she gets married. However, her right in the pension is reinstated if she is divorced or becomes widow. 
     

  • The widow: She should not get married and her right in the pension shall cease once she gets married. However, her right in the pension is reinstated if she is divorced or becomes widow.
     

  • The husband: He should be suffering from disability preventing him from work or gaining based on a report from the medical Authority concerned and the disability is ascertained every two years unless the medical Authority confirms that he might not recover, in which case it is not necessary to ascertain the case and the entitlement to pension shall subsist.
     

  • The father & mother: They should be depending for their living on the pensioner based on a certificate to be issued by the Ministry of Social Development and their right in the pension shall cease if the said reason comes to an end. 
     

  • The brother: He should be depending for his living on the pensioner as per a certificate to be issued by the Ministry of Social Development provided he should not be above twenty-two years of age with the following exceptions: 

  1. If his disability to gain is established by a report from the medical Authority concerned, and the disability is ascertained every two years unless the medical Authority confirms that he might not recover, in which case it is not necessary to ascertain the case and the entitlement to pension shall subsist.

  1. The student at any educational level, which does not exceed the university level, provided he should not be above twenty-six years of age. 

  • The sister: She should be unmarried and depending on the pensioner for her living based on a certificate to be issued by the Ministry of Social Development, and her right in the pension shall cease once she gets married and it is reinstated if she is divorced or becomes a widow. 


Q: What are the other benefits guaranteed by the law other than the above-mentioned pensions?

A: Apart from the above-mentioned pensions, the law stipulates the end of service benefit and additional grants as follows: 

Firstly: End of service benefit: If the service of the insured expires and he/she does not meet the conditions for entitlement to pensions, he/she will be eligible for end of service benefit provided his/her contributions period should not be less than one full year.

The end of service benefit is computed on the last basic salary drawn by the worker at the end of his/her service @ one- month salary per annum for the first three years and two-month salary per annum for the years next to the first three years. 

Secondly: Additional Grants: In case of the death of the insured or the pensioner, the following beneficiaries shall have shares in the pension as follows: 

  1. The widow or the eldest son or the parents or any of them, in case of non-existence of a widow or adult children are paid a grant equivalent to three-month salary depending on the contributable wage if he/she is in the service and it is equivalent to three-month pension if he/she is a pensioner.
     

  2. The daughter drawing pension under the provisions of this law gets - for her marriage - marriage grant equivalent to 15 times of the pension amount. Payment of pension is discontinued by the end of the month during which the marriage takes place and the marriage grant is paid once.
     

  3. Upon the death of the insured or the pensioner, a funeral expenses grant equivalent to three-month salary based on the basic salary subject to the contributions if the deceased is in the service and it is equivalent to three- month pension if he/she is a pensioner. The funeral expenses grants should not exceed RO.1000/- under all circumstances.

Payment is made to the widow or the eldest son of the deceased, if any, otherwise it is made to the person proven to have paid the funeral expenses as per a certificate approved by the Wali or his authorized person.
 

Q: What are the entitlements of the person joining the Government units?
A: The dues of person joining any ministry affiliated to the civil service or MOD or DRC, the contributions are transferred to the unit, which he/she is joining.

The person joining the ROP apparatus is entitled to end of service benefit from the Authority.

Q: What are the additional grants provided for by the social insurance law for the insured?

1.   Funeral and Consolation Grant: It is paid to the widow of the insured, the widow of the pensioner, to his eldest son. If there are no widow or adult children, the grant will be paid to the person who confirms that he has paid the funeral and consolation expenses as per a certificate approved by the Wali or his designate. The grant is equivalent to three-month wage or three-month pension if the pensioner is dead provided the grant should not exceed RO. 1000/- in any case.

2. Death Grant: it is paid to the widow, the eldest son, the parents or any of them in case there are no widow or adult sons. The grant is equivalent to three-month wage or three-month pension if he is a pensioner.

  1. Marriage Grant: It is paid to the daughter of the deceased at the rate 15 times of its share in the pension and it lapses after 5 years.

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Public Authority for Social Insurance