1. Are there any requirements for the provision of public services for the purpose of social payments in case of disability?
Requirements for the provision of public services Assignment of social payments in case of disability" approved by Appendix 4 to The rules for calculating (determining) the amount, appointment, implementation, suspension, recalculation, renewal, termination and revision of the decision on the appointment (refusal to appoint) social payment in case of disability approved by the Order of the Deputy Prime Minister - Minister of Labor and Social Protection of the Population of the Republic of Kazakhstan dated June 22, 2023 No. 238.
2. When does the right to a social disability payment arise?
The right to social disability payment arises from the date when the medical and social expertise unit determines the degree of general disability of a participant in the compulsory social insurance system.
The disability coefficient corresponds to the established degree of general disability from 30 percent to 100 percent.
3. Is a social disability payment awarded if a citizen continues to work?
According to paragraph 7 of Article 171 of the Social Code of the Republic of Kazakhstan, a day is assigned to a participant in the compulsory social insurance system, regardless of whether work has been terminated by the time of applying for social benefits or continues. Thus, the recipient of the social disability payment can work and earn income.
4. For what period is the social disability payment assigned?
The social disability payment is appointed from the date of the right to social benefits for the entire period of disability established by the medical and social expertise unit, but no more than the time when a participant in the compulsory social insurance system reaches retirement age: men - 63 years, women - 61 years in 2025, regardless of whether it is terminated is the work at the time of applying for a social security payment or is it ongoing
5. What documents are needed for the appointment of social payment in case of disability
SBd is appointed on the basis of the following documents:
1) identity document (identity card, stateless person's card, residence permit of a foreigner) or repatriate (qandas) certificate for persons with qandas status - required for identification;
2) for residents of the city Baikonur - a certificate from the department of accounting and registration of citizens for housing sector of Baikonur;
The specialist who accepts the application and documents forms requests to the relevant information systems (hereinafter referred to as IS) through the e-government gateway:
1) in the IS State database "Individuals" on the documents proving the identity of the applicant;
2) in the IS of second-tier banks according to information about the number of a bank account opened with banks and (or) organizations carrying out certain types of banking operations, or a cash control account of a correctional institution;
3) in the IS "Centralized Data Bank of Persons with Disabilities" on certificates on establishing the degree of loss of general ability to work, on conducting an examination and establishing a disability group.
In case of inconsistency (absence) of information in the IS, the relevant documents are attached to the application, with the exception of information about the bank account number.
6. Where is the application for the appointment of social payment in case of disability
Persons who are eligible to receive social benefits apply for social benefits through:
1) the Department of medical and Social expertise (ITU) – for the initial determination of the degree of loss of general disability according to the principle of "one statement";
2) The State Corporation "Government for Citizens", when establishing the degree of UOT.
При этом прием заявления осуществляется:
at the location of MSE subdivision of the corresponding region;
на выездных заседаниях подразделений МСЭ, порядок проведения которых определяется уполномоченным государственным органом в соответствии с частью двадцать второй подпункта 5) статьи 12 Кодекса, проводимых:
на базе лечебно-профилактических учреждений по месту постоянного жительства (регистрации) заявителя;
at the place of stay for treatment in specialized institutions;
в исправительных учреждениях и следственных изоляторах, по месту пребывания заявителя;
на дому, в стационаре – если лицо по состоянию здоровья в соответствии с заключением врачебно-консультативной комиссии не может явиться на медико-социальную экспертизу;
заочно – с согласия освидетельствуемого лица или законного представителя, когда освидетельствуемое лицо нетранспортабельно и/или находится на стационарном лечении за пределами обслуживаемого региона, на основании представленных документов, определенных перечнем основных требований к оказанию государственной услуги «Назначение социальной выплаты по случаю утраты трудоспособности»
3) веб-портал «электронного правительства», при установлении степени утраты общей трудоспособности на момент обращения
При регистрации телефонного номера абонентского устройства сотовой связи услугополучателя на портале электронного правительства, оказывается проактивная услуга, в случае получения согласия услугополучателя в течение 3-х календарных дней путем sms-оповещения. Предоставление заявления при назначении социальной выплаты через проактивную услугу не требуется.
7.В течение какого времени назначается социальная выплата по случаю утраты трудоспособности (СВут)?
В случае обращения через Государственную корпорацию «Правительство для граждан», подразделение медико-социальной экспертизы срок оказания государственной услуги составляет восемь рабочих дней.
В случае обращения через веб-портал «электронного правительства» или проактивную услугу срок назначения социальной выплаты составит четыре рабочих дня.
ГФСС имеет право производить проверку достоверности документов (сведений), необходимых для назначения социальных выплат. В этих целях ГФСС в течение 4 рабочих дней запрашивает сведения в информационных системах государственных органов и соответствующие организации, плательщика социальных отчислений. При этом о произошедшей задержке в принятии решения о назначении СВут и сроках продления принятия решения, но не более чем на один месяц, с даты направления электронного макета дела на проверку заявитель извещается в письменной форме отделением Госкорпорации.
Если для принятия решения о назначении (отказе в назначении) СВбр выявляется необходимость приобщения к электронному макету дела (далее – ЭМД) дополнительных документов (сведений), филиал ГФСС возвращает ЭМД в отделение Государственной корпорации с уведомлением о необходимости дооформления документов на назначение СВбр. Срок дооформления не превышает тридцати рабочих дней с даты направления филиалом ГФСС ЭМД на дооформление.
Отделение Государственной корпорации в течение 3 рабочих дней со дня поступления электронного уведомления от ГФСС ставит в известность заявителя:
- при личном обращении заявителя путем вручения уведомления о проверке документов или о необходимости дооформления документов;
- при наличии в информационной системе номера мобильного телефона посредством передачи sms-оповещения на мобильный телефон заявителя.
8. Как определяется размер социальной выплаты по случаю утраты трудоспособности (СВут)?
СВут = (СМД-50% от МЗП) * КЗД * КСУ * КУТ, где:
AMI - the average monthly income of a participant in the system of compulsory social insurance for the last 24 months preceding the month of determining the degree of loss of general working capacity (GD),
AMI=(MI1+MI2+MI3...+MI24)/24, where:
MI - monthly income taken into account as an object of calculation of social contributions (hereinafter - SC)(income minus income from which SC are not paid, including mandatory pension contributions (hereinafter - MPC)).
MW - the amount of the minimum wage established by the law on the republican budget on the date of the emergence of the right for SBd;
КЗД – коэффициент замещения дохода. КЗД составляет 0,6;
DR - the coefficient of disability corresponds to the established degree of GD from 30% to 100% (inclusive).
LP- length of participation :
less than 6 months - 0,1;
from 6 to 12 months - 0,7;
from 12 to 24 months - 0,75;
from 24 to 36 months - 0,85;
from 36 to 48 months - 0,9;
from 48 to 60 months - 0,95;
from 60 to 72 months - 1,0;
от 60 и более месяцев - к 1,0 прибавляется 0,02 за каждые двенадцать месяцев стажа участия в системе обязательного социального страхования, но не более 1,3.
При стаже участия 72 и более месяцев, КСУ определяется по следующей формуле:
КСУ = 1,0 + 0,02 * ЦЕЛОЕ ((Мсо – 60 мес.)/12 мес.), где
1,0 - КСУ при стаже участия от шестидесяти до семидесяти двух месяцев;
ЦЕЛОЕ от деления разницы (Мсо – 60 мес.) на 12 мес. – количество полных лет, к которым применяется значение 0,02 за каждый год стажа участия, свыше пяти лет.
Мсо – общее количество календарных месяцев, за которые поступили социальные отчисления.
Example
Let's say that a member of the system with 85 months of participation and a 90% degree of GD within 2 years before the date of establishment of the GD degree:
the first year salary - 150 000 tenge (object of calculating SC excluding MPC = 150 000 tenge - 15 000 tenge = 135 000 tenge),
second year salary - 200 000 tenge (object of calculation of SC minus MPC = 200 000 tenge - 20 000 tenge = 180 000 tenge).
Доходы за каждый месяц определяются на основании поступивших СО в ГФСС от объекта исчисления СО.
Amount of income for 24 months: 12 months * 135 000 tenge +12 months * 180 000 tenge = 3 780 000 tenge.
The amount received is divided by 24: AMI = 3 780 000 tenge / 24 = 157 500 tenge
DR=0,9
IRR=0,6
CSU = 1+ ((85 months – 60 months)/12) full years * 0.02 = 1.04;
Social disability payment= (SMD - 50% * MPP) * KUT * KSD * KSU
(So 157,500 is 50% * 85,000 so) * 0,9 * 0,6 * 1,04 = 584 64 so.
10% of the specified amount is retained KZT6,458 and transferred to the recipient's account in the Unified Accumulative Pension Fund. If the recipient is a person with a disability of the first and second groups, if the disability is established indefinitely, the OPV is retained on the basis of his consent.
Social disability payment= 64 584 tenge – 6458 tenge = 58 126 tenge on a monthly basis will be transferred to the recipient's bank account.
Starting from 01.01.2025, minimum wage = 85,000 tenge.
9. In what cases is the social disability benefit suspended?
The Social disability payment is suspended from the first day of the month following the month of receipt of information, including from information systems, about:
1) the absence of spending transactions for three or more months on the recipient's bank account. In this case, the Social disability payment resumes from the day of suspension.;
2) the recipient's departure for permanent residence outside the Republic of Kazakhstan.
A person who has left for permanent residence outside the Republic of Kazakhstan, who was a recipient of the Social disability payment and returned back, in case of non-receipt of payment in the country of departure, the Social disability payment is resumed from the date of suspension of payment, but not more than three years before applying for its receipt.
In this case, the Social disability payment is resumed in the amount established at the time of departure from the Republic of Kazakhstan. If an increase in the Social disability payment was made during the departure period, its amount is determined taking into account these increases.
If payment is received in the country of departure, the Payment is renewed from the date of application, subject to registration at a permanent place of residence in the Republic of Kazakhstan in the amount established at the time of departure from the Republic of Kazakhstan.;
3) the recipient, who is the guardian, is serving a criminal sentence imposed by the court in the form of imprisonment. In this case, the transfer is made to the person appointed by the guardian from the date of suspension.;
4) expiration of the validity period of the identity document of a foreigner or a stateless person, the certificate of candace. At the same time, the Social disability payment is resumed from the date of issue of the identity document of a foreigner or a stateless person permanently residing in the territory of the Republic of Kazakhstan, the certificate of candace;
5) the availability of a supporting document on the conduct of operational search activities or on the fact of missing persons in relation to the recipient of the Social disability payment. In this case, the Social disability payment resumes from the date of entry into force of the judicial act on the cancellation of the court decision on the recognition of a missing person, but not earlier than the date of suspension.;
6) termination by the recipient of the citizenship of the Republic of Kazakhstan on the grounds provided for by the Law of the Republic of Kazakhstan "On Citizenship of the Republic of Kazakhstan". At the same time, the Light is resumed from the date of issue of the identity document of a foreigner or a stateless person permanently residing in the territory of the Republic of Kazakhstan.;
7) the release or removal of the guardian from performing his duties in cases established by the marriage and family legislation of the Republic of Kazakhstan. In this case, the transfer is made to the person appointed by the guardian, or to the recipient who has been restored to the status of guardian, from the date of suspension.;
8) providing false information by the applicant, which entailed an unjustified determination of the size of the social disability payment. In this case, the social disability payment is resumed in the amount determined in accordance with this Code from the date of suspension.;
9) registration of a protocol on the identification of the fact of submitting false documents for medical and social examination and (or) unjustified expert opinion. In this case, the social disability payment is resumed from the day of suspension upon confirmation of the previously issued expert opinion during the re-examination of the control.
10. How it resumes?
Social disability payment is resumed upon application on the basis of documents and (or) information received from information systems confirming the expiration of the circumstances that caused the suspension of social benefits, provided that the right to social disability payment remains.
11. When does the disability social payment stop?
disability social payment stops
1) in case of death of the recipient (entry into force of a court decision declaring him dead). In this case, the Payment is carried out according to the month of the recipient's death (the month of entry into force of the court's decision declaring him dead), inclusive.;
2) in connection with the submission by the recipient of false documents (information) that served as the basis for making a decision on the appointment of the disability social payment. At the same time, the disability social payment stops from the day of its appointment.;
3) in connection with the submission by the recipient of an application for termination. In this case, the disability social payment stops on the first day of the month following the month of application submission.;
4) if the medical and social expertise unit makes a decision to recognize the recipient as able-bodied from the first day of the month following the month in which he is recognized as able-bodied.
12. In what cases is the recalculation of social payment in case of disability carried out?
The branch of the State Social Insurance Fund, based on information received from the information system "Centralized Database of persons with Disabilities", decides to recalculate the social payment in case of a change:
the degree of loss of general disability (DLGD), from the date of its establishment (change). At the same time, the new amount of social security payment is calculated by dividing the current amount of social security payment by the current DLGD coefficient and multiplying the result by the newly established DLGDcoefficient.;
the deadline for establishing the degree of DLGD at the next medical and social examination. In this case, the social payment is carried out from the date of establishment of the degree of DLGD in the amount established at the time of expiration of the previous period for establishing the degree of UT.
In the absence of information from the information system "Centralized Database of persons with disabilities" in the event of a change in the degree or duration of the DLGD , the branch of the State Corporation forms a draft decision of the branch of the SSIF on the appointment (recalculation) or refusal to assign social benefits from the date of establishment of the degree of DLGD and sends it to the branch of the SSIF .
At the same time, if six months or more have passed since the end date of the previous period for establishing the degree of DLGD , the branch of the State Corporation accepts an application for the appointment of a social payment through the State Corporation in order to recalculate the social payment.
Example
SBd amount = 60 000 tenge at DR = 0,5 (50% GD)
In the case of an increase in DLGD to 70%, BUSH = 0.7, then
New amount of SBd = SBd/0,5*0,7 = 60 000 tenge / 0,5*0,7 = 84 000 tenge
13. Are the amounts of disability payments being increased on an annual basis?
Annually, as of January 1 of the current year, the SBd increase in the amount provided for by the Decree of the Government of the Republic of Kazakhstan.
