Building a Customized Social Security System for Nepal: Overview and Development

Building a Customized Social Security System for Nepal: Overview and Development

Contents

Glossary: Social Security Protection Terminologies

Entity

Description

Remarks

Entity

Description

Remarks

  • Applicant

  • A person who submits a request for benefits, claims, or support under a social security program.

 

  • Beneficiary

  • An individual or entity entitled to receive financial or social security benefits, such as pensions, healthcare, or other assistance, based on eligibility criteria.

 

  • Claim

  • A formal request submitted to receive benefits, compensation, or reimbursements from a social security system, insurance provider, or employer.

 

  • Contributors

  • Individuals or entities (such as employers, employees, and self-employed persons) who make payments to a social security system to ensure financial protection during contingencies.

 

  • Employee

  • An individual hired by an employer to perform specific tasks in exchange for wages or salary, typically with social security and labor rights protections.

 

  • Employer

  • An individual or entity that hires employees and provides wages, benefits, and working conditions while ensuring compliance with labor laws and social security contributions.

 

  • Formal Employment

  • Legally recognized employment with contracts, wages, and social security protections such as pensions, health insurance, and unemployment benefits.

 

  • Grievance

  • A formal complaint raised by an individual or group regarding unfair treatment, labor rights violations, or social security benefit issues.

 

  • Informal Employment

  • Work arrangements that are not regulated by labor laws or social security systems, often lacking contracts, benefits, and worker protections.

 

  • Investment

  • The allocation of financial or other resources into assets, businesses, or social security funds with the expectation of generating returns or long-term benefits.

 

  • Loan

  • A financial agreement in which a lender provides money to a borrower, who agrees to repay it with interest over a specified period; may be offered under social security programs for specific needs such as housing, education, or emergencies.

 

  • Migrant

  • A person who moves from one place to another, often across national borders, for work or better living conditions, with varying access to social security benefits based on policies and agreements.

 

  • Self-Employment

  • A work arrangement where an individual operates their own business or works independently rather than being employed by a company. Self-employed individuals are responsible for their own social security contributions.

 

  • Social Security Protection

  • A system that provides financial assistance and support to individuals and families in cases of unemployment, disability, old age, sickness, maternity, or other vulnerabilities.

 

Overview

User Manual

Employer Manual

Employer Admin Verify

Contributor Manual

Contributor Admin Verify

Self Employment Manual

Self Employment Admin Verify

Migrant Admin Verify

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212981765

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212981775

Collection Manual

Contributor Collection

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212818241

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212981813

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212981823

Grievance Manual

https://openimis.atlassian.net/wiki/spaces/OP/pages/4212981838

Business Process

  1. Employer Registration Process

  2. Contributor Management Process

  3. Contribution Declaration

  4. Payment of Contributions Process

  5. Non Medical Claim Management (Ver 1.0)

  6. Non Medical Claim management (Ver 2.0)

  7. Grievance Redressal Mechanism

  8. Loan

  9. Compliance Verification

  10. Claim Payment

  11. Investment

Developer

 

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