Private Compensation Claims

Here you can read about

- How private compensation claims are managed
- The rules for compensation for personal injury
Insurance companies and injured persons can contact the division for private compensation claims of the
National Board of Industrial Injuries (the P-Division) to get an impartial statement on the health effects
and occupational consequences of a private personal injury.
By way of example, private personal injuries are injuries sustained in road accidents or in a persons leisure
time.
Statements made by the P-Division are guiding. If the parties do not agree with the statement made by the
National Board of Industrial Injuries, the case may be decided by a court of law.
The statement may include an assessment of
- The degree of permanent injury the direct health effects of the injury
- The loss of earning capacity the permanent loss of earnings caused by the injury
- Maximum medical improvement the time when there is no longer any substantial and permanent
improvement of the health complaints (only applies to injuries sustained before 1st July 2002)
In 2008, the fee for managing a private claim was
- DKK 7,000 for a statement including loss of earning capacity
- DKK 3,800 for a statement not including loss of earning capacity

Industrial Injuries
Here you can read about industrial injuries.
An industrial injury covers two different concepts - Accidents at work and Occupational diseases.
In order for you to get compensation or other benefits, you need to have your injury recognized as an
industrial injury.

Decision and compensation
Once we have sufficient information, we usually make a comprehensive decision.
This means that you will be told, in the same decision letter, whether the injury has been recognized and
whether you are entitled to compensation.
If you disagree with our decision, you may submit the decision to the National Social Appeals Board.




Are you and your injury covered by the Workers
Compensation Act?
The Workers Compensation Act sets out the framework for when to recognise an injury as an industrial
injury.
The Act sets out three overall requirements:
There needs to have been an agreement that you were to perform a piece of work for an employer in
Denmark
The injury needs to have occurred while you were at work
The injury needs to have occurred due to the work or working conditions
If the injury occurred in your spare time, it will not be covered by the Act.
However, there are exceptions to this rule, for instance in connection with salvaging human life or doing
friends a favour (lending a hand).
Workers' compensation act
Workers Compensation Act
Cf. Consolidated Workers Compensation Act No. 848 of September 7, 2009
Rates applicable for the period 1
st
January 2011 31
st
December 2011

Benefits
1. Medical care, driving own car (section 38(2)) 2.00 DKK km
2. Medical care, hourly rate (section 38(2)) 16.25 DKK hour
3. Medical care, daily rate (section 38(2)) 390.00 DKK day
4. Medical care, accommodation, Copenhagen area (section 38(2)) 800.00 DKK day
5. Medical care, accommodation, Aarhus (section 38(2)) 800.00 DKK day
6. Medical care, accommodation, other parts of Denmark (section 38(2)) 850.00 DKK day
7. Medical care, lost earnings, maximum (section 38(2)) 243.24 DKK hour
8. Medical care, lost earnings, optionally insured, minimum (section 38(2)) 173.82 DKK hour
9. Eyeglass frames, maximum
(1) (section 15(5))
1,077 DKK
10. Compensation for loss of earning capacity, 100 per cent, maximum (section
17(6))
350,492
DKK
per
annum
11. Compensation for permanent injury, 100 per cent (section 18(3)) 766,000
DKK
12. Compensation for permanent injury, 120 per cent (section 18(4)) 919,200
DKK

13. Compensation for permanent injury, 100 per cent, injuries before 1st July 2002
(2) (section 33(3))
557,000
DKK

14. Compensation for permanent injury, 120 per cent, injuries before 1st July 2002
(2) (section 33(4))
668,400
DKK

15.
Compensation for permanent injury, 100 per cent, injuries before 1
st
January
1993
(3) (section 71(4))
55,500 DKK per
annum
16. Transitional allowance on death (section 19(1)) 144,500
DKK

17. Compensation for loss of breadwinner, spouse/cohabiting partner, maximum
(section 20(2))
126,684
DKK
per
annum
18. Compensation for loss of breadwinner, child, maximum
(4) (section 21(1))
42,228 DKK per
annum
19. Compensation for loss of breadwinner, child, double, maximum
(4) (section 21(2))
84,456 DKK per
annum

Basis for calculation
20. Annual earned income, maximum (section 24(5)) 459,000
DKK
per
annum
21. Annual earned income, persons not employed (section 24(2)) 35,000 DKK per
annum
22. Annual earned income, under 18 years/education, minimum (section 24(6)) 172,000
DKK
per
annum
23. Annual earned income, under 18 years/education, normal (section 24(2)) 328,000
DKK
per
annum
24. Supplement to earnings, free meals, and accommodation (section 24(4)) 35,300 DKK per
annum
25. Supplement to earnings, free meals per day (section 24(4)) 79 DKK day
26. Supplement to basic level of monthly payments (adjustment percentage)
(section 25(2))
25.2 per
cent



Fees for medical and dentist certificates
(5)
27. Reported claim, occupational disease/work-related disorder
(6) (section 35(3)
201 DKK
28. Supplementary sheet when reporting hearing injuries
(6) (section 35(3)))
528 DKK
29. First medical certificate, ASK 010
(6) (section 35(3))
533 DKK
30. Functions health certificate ASK 020 General functions health certificate
(6) (section 35(3))
1,066 DKK
31. Functions health certificate ASK 210 Mental effects
(6) (section 35(3))
1,066 DKK
32. Functions health certificate ASK 220 Eye
(6) (section 35(3))
1,066 DKK
33. Functions health certificate ASK 230 Cervical neck
(6) (section 35(3))
1,066 DKK
34. Functions health certificate ASK 240 Thoracic/lumbar spine
(6) (section 35(3))
1,066 DKK
35. Functions health certificate ASK 280 Hernia
(6) (section 35(3))
1,066 DKK
36. Functions health certificate ASK 290 Hearing
(6) (section 35(3))
1,066 DKK
37. Supplement to ASK 290 for new tone audiometry
(6) (section 35(3))
266 DKK
38. Supplement to ASK 290 for new tone speech audiometry
(6) (section 35(3))
266 DKK
39. Supplement to ASK 290 for new stapedius reflex measurement
(6) (section 35(3))
133 DKK
40. Functions health certificate ASK 310 Shoulder joint/upper arm
(6) (section 35(3))
1,066 DKK
41. Functions health certificate ASK 320 Elbow joint
(6) (section 35(3))
1,066 DKK
42. Functions health certificate ASK 330 Forearm
(6) (section 35(3))
1,066 DKK
43. Functions health certificate ASK 340 Wrist
(6) (section 35(3))
1,066 DKK
44. Functions health certificate ASK 350 Fingers
(6) (section 35(3))
1,066 DKK
45. Functions health certificate ASK 410 Hip joint/thigh bone
(6) (section 35(3))
1,066 DKK
46. Functions health certificate ASK 420 Knee joint
(6) (section 35(3))
1,066 DKK
47. Functions health certificate ASK 430 Lower leg
(6) (section 35(3))
1,066 DKK
48. Functions health certificate ASK 440 Ankle joint
(6) (section 35(3))
1,066 DKK
49. Dentist certificate with proposed treatment
(7) (section 35(3))
461 DKK

Prices of claims
50. Damaged glasses, aids, etc., new claim (section 59(1)) 2,317
DKK
51. Accident and short-term injurious effect, new claim (section 59(1)) 4,299
DKK
52. Sudden lifting injury, new claim (section 59(1)) 3,664
DKK
53. Occupational disease, new claim (section 59(1)) 5,051
DKK
54. Revision/resumption of injury to glasses, aids (section 59(1)) 1,444
DKK
55. Revision/resumption of accidents and injurious effects (section 59(1)) 2,578
DKK
56. Revision/resumption of sudden lifting injury (section 59(1)) 2,700
DKK
57. Revision/resumption of occupational disease (section 59(1)) 2,922
DKK
58. Claim submitted to the Occupational Diseases Committee, supplement (section 59(1)) 2,523
DKK
59. Handled/forwarded (not processed) claim (section 59(1)) 93 DKK
60.
Advisory statement inclusive of loss of earning capacity (section 81(2)) 8,500
DKK
61. Advisory statement exclusive of loss of earning capacity (section 81(2)) 4,900
DKK
62. Advisory statement time for estimate of future earning capacity, supplement (section
81(2))
8,500
DKK
63. Claim registered by the National Social Appeals Board (Ankestyrelsen) (section 59(1)) 8,823
DKK
(1) Inclusive of VAT.
(2) Cf. Consolidated Act No. 946 of October 16, 2000.
(3) Cf. Consolidated Act No. 450 of June 25, 1987.
(4) Compensation payments for loss of breadwinner to children are reduced if the total compensation
amounts will be in excess of 50 per cent of the annual earned income of the deceased (40 per cent if, at the
same time, compensation for loss of breadwinner is granted to the spouse/cohabiting partner).
(5) Exclusive of VAT.
(6) Is applicable for the period 1
st
April 2011 31
st
March2012.
(7) Is applicable for the period 1
st
April 2011 30
th
September 2011.