Industrial Accident Insurance Benefit Claim — From the Medical Care Benefit Application to the 90-Day Review Request

Procedure

1. 1. Identify the benefit types and which to claim

   Insurance benefits include medical care, temporary incapacity, disability, caregiving, survivor, injury and disease compensation annuity, funeral expenses and vocational rehabilitation benefits, paid on the claim of the eligible person (Article 36). Based on how the accident occurred and the treatment status, decide which benefit to claim first.

2. 2. Prepare the accident circumstances and medical opinion materials

   A medical care benefit application needs documents stating the workplace, how the accident occurred and the medical opinion on it (Article 41(1)). Arrange the accident report, medical certificate or opinion, and workplace information in chronological order, and include coworker statements or site materials if available.

3. 3. Prepare and submit the medical care benefit application

   The worker may apply to the Service directly, or an industrial accident insurance medical institution may file on the worker's behalf with consent (Article 41(2), Enforcement Rules, Article 20(1)). The Service informs the employer and hears their opinion (Enforcement Rules, Article 20(2)).

4. 4. Check the Service's decision

   The Service decides whether to pay within 7 days of receiving the application and notifies the applicant and the insured employer (Enforcement Rules, Article 21(1)). Time for committee deliberation, investigation, document supplementation and hearing the employer's opinion is not counted, so the decision may take longer (paragraph 2).

5. 5. If denied, file a review request and re-review request

   To challenge a benefit decision, file a review request with the Service through its branch that made the decision within 90 days of learning of the decision (Article 103(2) and (3)). The Service decides within 60 days of receiving the review request and may extend once by up to 20 days (Article 105(1)). If you disagree with that decision, file a re-review request within 90 days of learning of the decision (Article 106(3)).

Required documents

• Medical care benefit application (statutory form of the Enforcement Rules of the Industrial Accident Compensation Insurance Act)
• Accident report
• Medical certificate or physician's opinion
• Copy of ID
• Review request or re-review request (if denied)

Fees

Medical certificate fees are actual costs. Our office fee starts from the amount shown above and may vary depending on the benefit type and whether a review request follows a denial; we will give you an exact quote after reviewing your documents.

See fees and official charges for this service →

Legal basis and review date

• Industrial Accident Compensation Insurance Act, Article 36
• Industrial Accident Compensation Insurance Act, Article 41
• Industrial Accident Compensation Insurance Act, Article 103
• Industrial Accident Compensation Insurance Act, Article 105
• Industrial Accident Compensation Insurance Act, Article 106
• Industrial Accident Compensation Insurance Act, Article 112
• Enforcement Rules of the Industrial Accident Compensation Insurance Act, Article 20
• Enforcement Rules of the Industrial Accident Compensation Insurance Act, Article 21

Checked against the statutes on 2026-10-20

Statutes and public notices change, so each case needs to be checked individually. Statute titles are given in English for reference. The Korean statutes are the authoritative text.

Check these first

• The review and re-review requests must each be filed within 90 days of learning of the decision, so first check the date you received the denial notice.
• The right to benefits lapses after 3 or 5 years, so check the deadline in advance for benefits you will claim after treatment ends.

Frequently asked questions