Terminology

Terminology

The following list of terminologies includes definitions of words that are used in the laws and regulations for the implementation of the laws.

Reporting Injury

The injured person or the one who acts on his behalf notifies in writing the employer within seven days after the injury’s occurrence, deterioration or complication takes place or the disease is discovered. The employer or the one who acts on his behalf notifies in writing the appropriate office of the employment injury for which first-aid is insufficient, within three days after he is informed of the injury or takes note of its occurrence. Such notification should be submitted in Form No. 10/Occupational Hazards.

Employment Injury

The employment injury is any accident suffered by the contributor during performance or by reason of work. Also, the employment injury is any accident suffered by the contributor on his way from his dwelling to his workplace and back, or on his way from his workplace to the place where he usually takes his meal or gives his prayer and back.  Also, the employment injury is any accident suffered by the contributor during movements he makes for the purpose of doing an assignment required by the employer. Also, the employment injury is any disease established to be caused by work as well as the occupational disease duly determined in accordance with the Schedule of Occupational Diseases.

Occupational Disease

The occupational disease is the one developed as a result of working in a profession that causes such disease, provided that the disease is included in the Schedule of Occupational Diseases. The date of the first medical diagnosis of the disease is regarded as the date on which the injury is sustained.

Duration of Treatment

The duration of treatment is the period from the date on which the injury was sustained and the injured person entered the treatment body until he is fully recovered, his condition is stabilized, his disability is established or he dies. The duration of treatment includes the period during which the injured person visits the clinic in the treatment body in addition to the period during which the injured person stays in the treatment body.

Treatment Instructions

The treatment instructions are issued by the medical body for injured contributor. GOSI may cease the payment of the injured contributor entitlements in case he did not comply with such instructions

Date of Disability Establishment

The date of disability establishment is determined by the appropriate Medical Board as a date of the end of the injured person's treatment as well as the stabilization of his condition

Assessment of Disability Degree

The disability degree is the percentage of disability resulting from the injury to the full capacity to work. It is determined by the Medical Board according to the physical, psychological or mental disability suffered by the worker as a result of the injury

Reassessment of Disability Degree

The injured persons undergoes periodical medical examinations after the lapse of five years from the allocation of benefit. The reassessment shows an increase or decrease in the degree of disability of the injured person or the same percentage of disability. Such disability percentage is determined by the appropriate Medical Board.

Injury Deterioration or Complication

It is the development of symptoms of the injury about to be treated or the complication of such injury. The injury deterioration or complication is the base on which the injured person may be re-examined in order to reassess the degree of disability. The deterioration or complication is deemed as original injury.

Daily Allowance for Injury

The daily allowance is the cash amount paid throughout the period the contributor is not at work because of the injury. The daily allowance for injury is assessed at the rate of 100% of the wage, which amount is reduced to 75% of the wage while he is under treatment at the GOSI expense. Such allowance remains in effect until the date of recovery, disability establishment or death.

Lump-Sum Compensation for Injury

The lump-sum compensation for injury is the amount to which the contributor is entitled for once if he does not meet the conditions for entitlement to a monthly benefit, and if his disability percentage is 1% or over and less than 50%.

Permanent Total Occupational Disability

It is the disability that totally and permanently prevents the contributor from engaging in any work or profession with a disability percentage of 100%. Such percentage is determined by the appropriate Medical Board.

Permanent Partial Occupational Disability

It is the disability caused by occupational injury or disease and reduces the earning capacity of the contributor. The disability degree is equivalent to or exceeding 50% but less than 100%. The benefit is equivalent to the product of multiplying the percentage of such disability by the permanent total disability benefit to which he might have been entitled had he sustained a total disability.

Non-Occupational Disability

It is the a disability resulting from a disease or accident not relating to an employment injury. Such disability is assessed by the appropriate Medical Board. As a result of such disability, the disabled contributor finds it impossible to earn a wage equals to at least one third of his previous wage. The disability should last for a period equaling or exceeding six months.

Injured Person

He is the contributor covered under the Annuities Branch who experiences an accident or an occupational disease included in the Schedule of Occupational Diseases.

Benefit

It is the monthly amount due which is paid for the injured as a result of total disability or permanent partial disability where its percentage reaches the limit set out in the Law. Such benefit is also paid the family members in case of the death of the contributor covered under the Occupational Hazards Branch.

Allowance for the Need for Assistance of Others

It is the amount added to the benefit. Such allowance is assessed at the rate of 50% of the benefit if the injured person is in need of the constant help of others in the performance of his daily life activities. The Medical Board determines the contributor's need for such allowance which should not exceed SR 3,500.

Pension

It is the monthly amount to which the contributor is entitled in case of retirement or non-occupational disability, or the family members in case of the death of the contributor covered under the Annuities Branch.

Lump Sum Compensation

It is the amount to which the contributor is entitled for once in case the conditions of pension entitlement were not met.

Calculation of Pension

It is the method on which basis the pension is assessed. The retirement pension is computed by multiplying one-fortieth of the average monthly wage for the last two years by the number of  contribution years and months, provided that the pension amount does not exceed 100% of the said average.

Pensionable Age

It is the age of sixty set by the Law for the entitlement to retirement pension whenever the contribution period is available.

Pensioner

He is the person who meets the conditions of entitlement to pension and receives the pension in accordance with the provisions of the Law.

Discontinuity of Pension

It is a measure by which the entitlement to pension is ceased by GOSI in case the reason for entitlement to pension no more exists. The entitlement to the discontinued pension again depends on meeting the conditions set by the Law.

Suspension of the Payment of Pension

It is a procedure by which the payment of pension is temporarily suspended by GOSI in case the pensioner does not abide by the instructions such as failure to appear for re-assessment of disability or failure to complete the required procedures for the payment of pension. However, the payment of suspended pension resumes upon the completion of required procedure.

Basic Wage

It is the amount received by the contributor in consideration of his work by virtue of a written or unwritten contract regardless of the method of payment or computation of such wage, less the allowances that may be granted according to the work nature, risk or place or for overtime working hours or for any other reasons no matter under whatever titles they are granted for, and less the grants, annual bonuses and benefits in kind. There should be considered as basic wage the commission, the percentage of the sales value, and the percentage of the profit notwithstanding that it may be paid alone or in addition to a fixed wage.

Allowances Received by the Contributor from the Employer

They include the housing allowance and the housing. The housing allowance is paid in cash according to the amount agreed to between the employer and the contributor. The housing of which the contributory value is equivalent to a two-month basic salary.

Average Wage

It is one twenty-fourth part of the total contributory wages received throughout the last twenty four months of contribution period.

Fixed Percentage

It is the percentage actuarially determined and used in the calculation of pension. Such percentage is one-fortieth of the average monthly wage for the last twenty four months of contribution period.

Contributions under the Annuities Branch

They are the amounts deducted from the monthly wage of Saudi workers as well as the amounts paid by the employer. The contribution is fixed at 18% of the contributory wage, of which 9% is payable by the employer and 9% is payable by the contributor to GOSI.

Contributions under the Occupational Hazards Branch

They are the amounts paid by the employer to cover Saudi and Non-Saudi works. The contribution is fixed at 2% of the contributory wages of the contributor and is payable by the employer to GOSI.

Establishment

It is the legal entity through which the employer conducts his activity and which bears his name or the commercial name of such activity, and where a number of workers covered under the Social Insurance Law are working.

Legal Entity

The establishment is described as a legal entity if it is financially and legally independent of the owner.

Fines for Delay

They are the amounts which the employer is liable to pay for the periods of delay in payment of the monthly contributions. They are determined on the basis of a specified percentage of contributions that were not paid to GOSI in a timely manner. Such amounts should immediately be paid as GOSI claims for their payment.

Regulations

They are decisions that include rules and provisions in accordance with the Social Insurance Law.

Entitled Person

He is the survivor of family members after the death of the contributor or pensioner or recipient of benefit, provided that he is considered eligible for the pension in accordance with the Law. The entitled persons are:


a.    Sons:
They are the sons of the deceased contributor who are under twenty one years of age until they complete such age, which age limit is extendible to twenty six if they are pursuing their studies in an educational or vocational institution, and no age limit is set as long as they are suffering an earning incapacity by reason of chronic disease or infirmity.


b.    Daughters:
They are the daughters of the deceased contributor until they marry.


c.    Brothers:
They are the brothers of the contributor subject to the same conditions provided for in respect of the son.


d.    Sisters:
They are the sisters of the contributor subject to the same conditions provided for in respect of the daughter.


e.    Father:
He is the father of the deceased contributor who was supported by the contributor until he died, provided that he is suffering a loss of earning capacity, and he is deemed to be legally incapacitated to earn if he was over sixty and not working at the time of the death of his son.


f.    Grandsons and Grand-Daughters:
They are those whose father (the son of the contributor) died during the lifetime of the contributor, provided that they have been supported by the contributor until the date of his death.


g.    Mother:
She is the mother of the deceased contributor who was supported by the contributor until the date of his death.


h.    Widow of the Deceased Contributor:
She is the wife of the deceased at the time of his death or his divorcee by revocable divorce, if the death occurred during the waiting period. The widow may combine her benefit or pension share payable in respect of her contributor husband with her work income. Also, the widow may combine the benefit or pension payable in respect of herself with that payable in respect of her husband.


i.    Widower of the Deceased Female Contributor:
He is the one whose contributor wife died and is suffering an earning incapacity for as long as he is incapacitated.


j.    Grandfather:
He is the grandfather of the deceased contributor who was supported by the contributor until the date of his death, provided that he is suffering a loss of earning capacity, subject to the same conditions applicable to the father.


k.    Grandmother:
She is the grandmother of the contributor who was supported by the contributor until the date of his death

Dependency

A person is considered under the dependency of the contributor or pensioner if such a person is dependant in any of his basic needs on what the contributor or the pensioner provides him with expenses for such needs.

Redistribution of Pension

The pension share of a survivor is distributed to the remaining beneficiaries in accordance with the provisions of the law.

Marriage Grant

It is a one-time grant payable to the widow, daughter, sister or son's daughter due from her benefit or pension share in the event of her marriage. It amounts 18 times the value of her pension share. Her pension payment will discontinue from the month on which the marriage was performed.

Death Grant

It is a grant paid by GOSI amounting three months of the benefit/pension value to a maximum of S.R. 10,000. This grant is payable in the event of the death of a contributor because of an employment injury; the death of a contributor while in employment and having a contribution period entitling his family members to a pension; or the death of a retirement or non-occupational disability pensioner.

Share of Contribution

It is the contribution committed to be paid by both the employer and the contributor in accordance with the rates set by the law. The employer is responsible for paying the total contributions on behalf of himself and his contributing workers. The employer should deduct the share of his contributing workers from their wages at the dates specified by the law.

Contribution Card

The card given to the contributor that bears the number of his social insurance contribution. It is used to identify the contributor for purposes of application of the social insurance law proving the fact of his contribution in the scheme.

Registration

It is the practical steps taken by GOSI to implement the social insurance law in terms of registering employers and their workers.

Employer

He is any natural or legal person employing one or more compulsorily contributors under a contract regardless of its period, nature or form in consideration of a wage.

Object/Appeal

The announcement made by the contributor, entitled survivor, employer, pensioner or the one receiving a benefit or compensation, stating that he is unconvinced by the decision issued from any authority of GOSI and asking to review the matter. Such an announcement must be submitted during the period specified by the law.

Social Insurance Number

The permanent number of the contributor’s registration with GOSI.

Annuities Branch Benefits

It is the law under which GOSI provides the contributors or their survivors with compensations after retirement, disability and death.

Insurance Rights

They are the compensations and benefits provided under the social insurance law, where GOSI is obligated to provide for contributors or their family members when terms of eligibility are met.

Primary Medical Board

It is the board appointed by GOSI to examine medical matters in accordance with the social insurance law. It specifies the degree of disability of the injured, the sick person with an employment disease or the status of non-occupational disability. It is composed of at least two physicians, provided that one of them should represent GOSI whenever possible.

Appeal Medical Board

It is the board formed of members of specialists selected from higher medical bodies to examine cases of appealed decisions made by primary medical boards in case the contributor or GOSI object to the decisions of such primary medical boards. The Appeal Medical Board consists of at least three physicians to include one physician representing GOSI.

Inspector

The person who GOSI assigns from its staff to monitor and follow-up the implementation of the social insurance law and the decided procedures made for the enforcement of the law. Such an employee has the legal powers within the limits of his established duties.

شهر الاشتراك

الشهر الميلادي الذي يدفع عنه الاشتراك.

سنة الاشتراك

السنة التي يدفع عنها الاشتراك والتي تبدأ من يناير.