In Ukraine, all insured people who have suffered from accidents at work or occupational diseases are entitled to insurance payments. The entire list of insurance payments is defined in the Law of Ukraine “On Compulsory State Social Insurance”. Usually, the type of insurance payment to which the insured person (members of their family) has the right depends on the consequences of an accident or occupational disease: temporary disability, permanent disability, the death of a person. In case of confirmation of a person’s permanent disability, the person has the right to monthly insurance payments and one-time assistance. The author emphasizes that the person can expect to receive a monthly payment in the amount equal to the salary she had until health damage only in case of defining the total loss of professional disability. The article states that the amount of one-time assistance is determined according to the degree of loss of professional ability, based on the seventeen amounts of living wages for people able to work. Having investigated the grounds and procedure for the implementation of monthly insurance payments and one-time assistance, the author comes to the conclusion that there is a need to introduce a number of amendments to the Law of Ukraine “On Compulsory State Social Insurance” and the Resolution No. 11 “On Approval of the Procedure for Appointment, Transfer, and Conduct of Insurance payments”, namely: 1) to determine the cases whew the previously assigned amount of monthly insurance payment is subject to reduction; 2) to provide the person with the right to supplement the received one-time assistance in case of deterioration of their health as a result of previously acquired injury or occupational disease; 3) while determining the exact percentage to be reduced in the amount of one-time assistance (in the case of confirmation of the wrongful conduct of the victim) to take into account the criteria proposed by the author; 4) to take into account the fault of the victim not only while determining the amount of one-time assistance but also in. the implementation of other types of insurance payments.