{"id":96,"date":"2018-05-04T15:26:34","date_gmt":"2018-05-04T12:26:34","guid":{"rendered":"http:\/\/www.eylulmuhasebe.com\/?p=96"},"modified":"2018-05-04T15:26:34","modified_gmt":"2018-05-04T12:26:34","slug":"malulluk-sigortasi","status":"publish","type":"post","link":"http:\/\/eylulmuhasebe.com\/?p=96","title":{"rendered":"MALULL\u00dcK S\u0130GORTASI"},"content":{"rendered":"

Sigortal\u0131n\u0131n veya i\u015fverenin talebi \u00fczerine, Kurumca yetkilendirilen sa\u011fl\u0131k hizmeti sunucular\u0131n\u0131n sa\u011fl\u0131k kurullar\u0131nca usul\u00fcne uygun d\u00fczenlenecek raporlar ve dayana\u011f\u0131 t\u0131bb\u00ee belgelerin Kurum Sa\u011fl\u0131k Kurulunca incelenmesi sonucu, Kanunun 4 \u00fcnc\u00fc maddesinin birinci f\u0131kras\u0131n\u0131n (a) ve (b) bentleri kapsam\u0131ndaki sigortal\u0131lar i\u00e7in \u00e7al\u0131\u015fma g\u00fcc\u00fcn\u00fcn veya i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 sonucu meslekte kazanma g\u00fcc\u00fcn\u00fcn en az % 60’\u0131n\u0131 kaybetti\u011fi an\u0131lan kurulca tespit edilen sigortal\u0131 malul say\u0131l\u0131r.<\/span><\/p>\n

5510 SAYILI SOSYAL S\u0130GORTALAR VE GENEL SA\u011eLIK S\u0130GORTASI KANUNU KAPSAMINDA<\/strong><\/span><\/p>\n

MALULL\u00dcK S\u0130GORTASI<\/strong><\/span><\/p>\n

Merhaba,<\/span><\/p>\n

5510 say\u0131l\u0131 sa\u011fl\u0131k reformu ile zorla\u015ft\u0131r\u0131lan ba\u015fka bir konu ise malull\u00fck sigortas\u0131d\u0131r. Peki malull\u00fck sigortas\u0131 nedir? Malul olan yurtta\u015flar\u0131m\u0131za sa\u011flanacak yard\u0131m ve \u00f6denekler nelerdir? Yurtta\u015flar\u0131m\u0131z i\u00e7in zorla\u015ft\u0131r\u0131lan maddeler hangileridir?<\/span><\/p>\n

Malull\u00fck Sigortas\u0131 : ( 5510 say\u0131l\u0131 Kanunun 4.maddesinin A ve B bentleri kapsam\u0131nda bulunan sigortal\u0131lar )<\/strong><\/span><\/p>\n

Sigortal\u0131n\u0131n veya i\u015fverenin talebi \u00fczerine, Kurumca yetkilendirilen sa\u011fl\u0131k hizmeti sunucular\u0131n\u0131n sa\u011fl\u0131k kurullar\u0131nca usul\u00fcne uygun d\u00fczenlenecek raporlar ve dayana\u011f\u0131 t\u0131bb\u00ee belgelerin Kurum Sa\u011fl\u0131k Kurulunca incelenmesi sonucu, Kanunun 4 \u00fcnc\u00fc maddesinin birinci f\u0131kras\u0131n\u0131n (a) ve (b) bentleri kapsam\u0131ndaki sigortal\u0131lar i\u00e7in \u00e7al\u0131\u015fma g\u00fcc\u00fcn\u00fcn veya i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 sonucu meslekte kazanma g\u00fcc\u00fcn\u00fcn en az % 60’\u0131n\u0131 kaybetti\u011fi an\u0131lan kurulca tespit edilen sigortal\u0131 malul say\u0131l\u0131r. \u00c7al\u0131\u015fma g\u00fcc\u00fcndeki kay\u0131p oran\u0131 % 60’dan az olmakla birlikte, % 40 veya fazla olanlara da a\u015fa\u011f\u0131da belirtilen \u015fartlarla ya\u015fl\u0131l\u0131k ayl\u0131\u011f\u0131 ba\u011flan\u0131r.\u00a0 Ancak, sigortal\u0131 olarak ilk defa \u00e7al\u0131\u015fmaya ba\u015flad\u0131\u011f\u0131 tarihten \u00f6nce sigortal\u0131n\u0131n \u00e7al\u0131\u015fma g\u00fcc\u00fcn\u00fcn % 60’\u0131n\u0131 veya vazifesini yapamayacak derecede meslekte kazanma g\u00fcc\u00fcn\u00fc kaybetti\u011fi \u00f6nceden veya sonradan tespit edilirse, sigortal\u0131 bu hastal\u0131k veya \u00f6zr\u00fc sebebiyle malull\u00fck ayl\u0131\u011f\u0131ndan yararlanamaz. Bunlara,\u00a05510 say\u0131l\u0131 Kanun<\/a>un 28. maddesi uyar\u0131nca en az onbe\u015f y\u0131ldan beri sigortal\u0131 bulunmak ve en az 3960 g\u00fcn malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi bildirilmi\u015f olmak \u015fart\u0131yla ya\u015fl\u0131l\u0131k ayl\u0131\u011f\u0131 ba\u011flan\u0131r.<\/span><\/p>\n

Malull\u00fck sigortas\u0131ndan sa\u011flanan yard\u0131m malull\u00fck ayl\u0131\u011f\u0131 ba\u011flanmas\u0131d\u0131r.<\/span><\/p>\n

Malull\u00fck Ayl\u0131\u011f\u0131 Ba\u011flanmas\u0131n\u0131n \u015eartlar\u0131:<\/strong><\/span><\/p>\n

Malull\u00fck ayl\u0131\u011f\u0131 ba\u011flanabilmesi i\u00e7in sigortal\u0131n\u0131n;<\/span><\/p>\n

a)\u00a0\u00a0\u00a0\u00a0\u00a0 Sigortal\u0131n\u0131n malul say\u0131lmas\u0131,<\/span><\/p>\n

b)\u00a0\u00a0\u00a0\u00a0\u00a0 En az on y\u0131ldan beri sigortal\u0131 bulunup, toplam olarak 1800 g\u00fcn veya ba\u015fka birinin s\u00fcrekli bak\u0131m\u0131na muhta\u00e7 derecede mal\u00fbl olan sigortal\u0131lar i\u00e7in ise sigortal\u0131l\u0131k s\u00fcresi aranmaks\u0131z\u0131n 1800 g\u00fcn malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi bildirilmi\u015f olmas\u0131,<\/span><\/p>\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0 Mal\u00fbliyeti nedeniyle sigortal\u0131 olarak \u00e7al\u0131\u015ft\u0131\u011f\u0131 i\u015ften ayr\u0131ld\u0131ktan veya i\u015fyerini kapatt\u0131ktan ya da devrettikten sonra Kurumdan yaz\u0131l\u0131 istekte bulunmas\u0131, halinde malull\u00fck ayl\u0131\u011f\u0131 ba\u011flan\u0131r.<\/span><\/p>\n

Ancak, 4\/b kapsam\u0131nda sigortal\u0131 say\u0131lanlar\u0131n kendi sigortal\u0131l\u0131\u011f\u0131 nedeniyle genel sa\u011fl\u0131k sigortas\u0131\u00a0\u00a0\u00a0\u00a0\u00a0 primi dahil, prim ve prime ili\u015fkin her t\u00fcrl\u00fc bor\u00e7lar\u0131n\u0131n \u00f6denmi\u015f olmas\u0131 zorunludur.<\/strong><\/span><\/p>\n

5510 say\u0131l\u0131 Kanun<\/a>un 28 inci maddesi uyar\u0131nca;<\/span><\/p>\n

Sigortal\u0131 olarak ilk defa \u00e7al\u0131\u015fmaya ba\u015flad\u0131\u011f\u0131 tarihten \u00f6nce yukar\u0131da belirtildi\u011fi \u015fekilde mal\u00fbl say\u0131lmay\u0131 gerektirecek derecede hastal\u0131k veya \u00f6zr\u00fc bulunan ve bu nedenle malull\u00fck ayl\u0131\u011f\u0131ndan yararlanamayan sigortal\u0131lara, en az onbe\u015f y\u0131ldan beri sigortal\u0131 bulunmak ve en az 3960 g\u00fcn malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi bildirilmi\u015f olmak \u015fart\u0131yla ya\u015fl\u0131l\u0131k ayl\u0131\u011f\u0131 ba\u011flan\u0131r.Kurumca yetkilendirilen sa\u011fl\u0131k hizmet sunucular\u0131n\u0131n sa\u011fl\u0131k kurullar\u0131nca usul\u00fcne uygun d\u00fczenlenecek raporlar ve dayana\u011f\u0131 t\u0131bb\u00ee belgelerin incelenmesi sonucu, Kurum Sa\u011fl\u0131k Kurulunca \u00e7al\u0131\u015fma g\u00fcc\u00fcndeki kay\u0131p oran\u0131n\u0131n;<\/span><\/p>\n

a)\u00a0\u00a0\u00a0\u00a0\u00a0 % 50 il\u00e2 % 59 aras\u0131nda oldu\u011fu anla\u015f\u0131lan sigortal\u0131lar, en az 16 y\u0131ldan beri sigortal\u0131 olmalar\u0131 ve 4320 g\u00fcn,<\/span><\/p>\n

b)\u00a0\u00a0\u00a0\u00a0\u00a0 % 40 il\u00e2 % 49 aras\u0131nda oldu\u011fu anla\u015f\u0131lan sigortal\u0131lar, en az 18 y\u0131ldan beri sigortal\u0131 olmalar\u0131 ve 4680 g\u00fcn,<\/span><\/p>\n

malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi bildirilmi\u015f olmak \u015fart\u0131yla ikinci f\u0131kran\u0131n (a) bendindeki ya\u015f \u015fartlar\u0131 aranmaks\u0131z\u0131n ya\u015fl\u0131l\u0131k ayl\u0131\u011f\u0131na hak kazan\u0131rlar. Bunlar 94 \u00fcnc\u00fc madde h\u00fck\u00fcmlerine g\u00f6re kontrol muayenesine t\u00e2bi tutulabilirler.<\/span><\/p>\n

Malull\u00fck Ayl\u0131\u011f\u0131 Alanlar\u0131n \u00c7al\u0131\u015fmas\u0131 ve Ayl\u0131\u011f\u0131n Kesilmesi:<\/strong><\/span><\/p>\n

Malull\u00fck ayl\u0131\u011f\u0131 almakta iken bu\u00a05510 say\u0131l\u0131 Kanun<\/a>a g\u00f6re veya yabanc\u0131 bir \u00fclke mevzuat\u0131 kapsam\u0131nda \u00e7al\u0131\u015fmaya ba\u015flayanlar\u0131n malull\u00fck ayl\u0131klar\u0131, \u00e7al\u0131\u015fmaya ba\u015flad\u0131klar\u0131 tarihi takip eden \u00f6deme d\u00f6nemi ba\u015f\u0131nda kesilir ve bu Kanuna tabi olarak \u00e7al\u0131\u015ft\u0131klar\u0131 s\u00fcre zarf\u0131nda 80 inci maddeye g\u00f6re belirlenen prime esas kazan\u00e7lar\u0131 \u00fczerinden 81 inci madde gere\u011fince k\u0131sa ve uzun vadeli sigorta kollar\u0131 ile genel sa\u011fl\u0131k sigortas\u0131na ait prim al\u0131n\u0131r. Bunlardan i\u015ften ayr\u0131larak yeniden malull\u00fck ayl\u0131\u011f\u0131 ba\u011flanmas\u0131 i\u00e7in yaz\u0131l\u0131 istekte bulunan ya da emekliye ayr\u0131lan veya sevk edilenlere; kontrol muayenesine tabi tutulmak ve ilk ayl\u0131\u011f\u0131na esas malull\u00fc\u011f\u00fcn\u00fcn devam etti\u011fi anla\u015f\u0131lmak kayd\u0131yla, 4 \u00fcnc\u00fc maddenin birinci f\u0131kras\u0131n\u0131n (c) bendi kapsam\u0131nda \u00e7al\u0131\u015f\u0131yorsa g\u00f6revinden ayr\u0131ld\u0131\u011f\u0131 tarihi, di\u011ferlerine ise istek tarihlerini takip eden \u00f6deme d\u00f6neminden itibaren yeniden malull\u00fck ayl\u0131\u011f\u0131 hesaplanarak ba\u011flan\u0131r.<\/span><\/p>\n

Yurtta\u015flar\u0131m\u0131z i\u00e7in Zorla\u015ft\u0131r\u0131lm\u0131\u015f olan H\u00fck\u00fcmler :<\/strong><\/span><\/p>\n

Eski Yasal D\u00fczenleme : ( 506 say\u0131l\u0131 kanun 54.maddesi )<\/strong><\/span><\/p>\n

Sigortal\u0131n\u0131n, Malull\u00fck ayl\u0131\u011f\u0131ndan yararlanabilmesi i\u00e7in;<\/span><\/p>\n

a)\u00a0\u00a0\u00a0\u00a0\u00a0 \u0130lgili kanunun 53.maddesine g\u00f6re malul say\u0131lmas\u0131<\/span><\/p>\n

b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Toplam olarak 1800 g\u00fcn veya en az 5 y\u0131ldan beri sigortal\u0131 bulunup, sigortal\u0131l\u0131k s\u00fcresinin her y\u0131l\u0131 i\u00e7in ortalama olarak 180 g\u00fcn malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi \u00f6demi\u015f olmas\u0131 gerekmektedir.<\/strong><\/span><\/p>\n

Yeni Yasal D\u00fczenleme : ( 5510 say\u0131l\u0131 kanun )<\/strong><\/span><\/p>\n

Malull\u00fck ayl\u0131\u011f\u0131 ba\u011flanabilmesi i\u00e7in sigortal\u0131n\u0131n;<\/span><\/p>\n

a)\u00a0\u00a0\u00a0\u00a0\u00a0 Sigortal\u0131n\u0131n yukar\u0131da belirtildi\u011fi \u015fekilde malul say\u0131lmas\u0131,<\/span><\/p>\n

b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong>En az on y\u0131ldan beri sigortal\u0131 bulunup, toplam olarak 1800 g\u00fcn veya ba\u015fka birinin s\u00fcrekli bak\u0131m\u0131na muhta\u00e7 derecede mal\u00fbl olan sigortal\u0131lar i\u00e7in ise sigortal\u0131l\u0131k s\u00fcresi aranmaks\u0131z\u0131n 1800 g\u00fcn malull\u00fck, ya\u015fl\u0131l\u0131k ve \u00f6l\u00fcm sigortalar\u0131 primi bildirilmi\u015f olmas\u0131,<\/strong><\/span><\/p>\n

c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong>Mal\u00fbliyeti nedeniyle sigortal\u0131 olarak \u00e7al\u0131\u015ft\u0131\u011f\u0131 i\u015ften ayr\u0131ld\u0131ktan veya i\u015fyerini kapatt\u0131ktan ya da devrettikten sonra Kurumdan yaz\u0131l\u0131 istekte bulunmas\u0131<\/strong>,\u00a0<\/strong>halinde malull\u00fck ayl\u0131\u011f\u0131 ba\u011flan\u0131r<\/strong>.<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Sigortal\u0131n\u0131n veya i\u015fverenin talebi \u00fczerine, Kurumca yetkilendirilen sa\u011fl\u0131k hizmeti sunucular\u0131n\u0131n sa\u011fl\u0131k kurullar\u0131nca usul\u00fcne uygun d\u00fczenlenecek raporlar ve dayana\u011f\u0131 t\u0131bb\u00ee belgelerin Kurum Sa\u011fl\u0131k Kurulunca incelenmesi sonucu, Kanunun 4 \u00fcnc\u00fc maddesinin birinci f\u0131kras\u0131n\u0131n (a) ve (b) bentleri kapsam\u0131ndaki sigortal\u0131lar i\u00e7in \u00e7al\u0131\u015fma g\u00fcc\u00fcn\u00fcn&hellip<\/p>\n","protected":false},"author":1,"featured_media":11,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-96","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-makale"],"_links":{"self":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts\/96","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=96"}],"version-history":[{"count":0,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts\/96\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/media\/11"}],"wp:attachment":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=96"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=96"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=96"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}