Household registration Zhejiang has paid pension insurance and medical insurance in Suzhou for two years, and now plans to settle in Zhenjiang. If I can't hand it in at the company, will it be transfe

Household registration Zhejiang has paid pension insurance and medical insurance in Suzhou for two years, and now plans to settle in Zhenjiang. If I can't hand it in at the company, will it be transferred automatically? Policy guide

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1. Conditions for receiving a monthly pension

(a), according to the provisions of the payment of endowment insurance;

(2) Reaching the retirement age stipulated by the state;

1, male retirement age is 60;

2. The retirement age of female cadres is 55 years old and that of workers is 50 years old;

3. Special jobs with continuous work can be retired five years in advance;

4. Employees of state-owned bankrupt enterprises are less than 5 years away from their normal retirement age;

5. Need to retire early due to illness, the male is over 50 years old and the female is over 45 years old;

(3) The accumulative payment period of registered employees in this city is 10 years before1July 3, 992; Employees with household registration in this city started to work after 1 August 9921,and the accumulated payment period reached15; The actual payment period of employees who are not registered in this city has accumulated to 15 years.

2. The composition of personal monthly basic pension at retirement.

(1) For employees who have joined the work since August/992 1, the monthly basic pension consists of the basic pension calculated at 20% of the average monthly salary of urban employees in this city in the previous year and the personal account pension calculated at the time of retirement1120;

(2) After the implementation of "Regulations on Social Endowment Insurance for Enterprise Employees in Shenzhen Special Economic Zone" on July 3 1 and 1992, the monthly basic pension upon retirement according to the regulations will be paid by the basic pension calculated at 20% of the average monthly salary of urban employees in the previous year and the personal account accumulated at retirement according to1120.

3. The lifetime reimbursement of the insured is linked to the continuous insurance time.

In order to prevent some employers and individuals from selectively participating in insurance and plug the leak of medical insurance fund, our city has learned from the past experience and lessons when formulating the new medical reform plan. The maximum amount paid by the insured from the basic medical insurance pooling fund in each medical insurance year shall not exceed 4 times of the average annual salary of urban workers in the previous year, and shall be linked to the continuous participation time. The specific criteria are as follows:

(a) less than half a year, the maximum payment limit of the basic medical insurance fund is 0.5 times the average annual salary of urban workers in the previous year;

(2) If the continuous participation time is less than 1 year, the maximum payment amount of the basic medical insurance pooling fund is 1 times of the average annual salary of urban workers in the previous year;

(3) If the continuous participation time 1 year is less than 2 years, the maximum payment limit of the basic medical insurance fund is 2 times of the average annual salary of urban workers in the previous year;

(four) continuous insurance for 2 years and less than 3 years, the maximum payment limit of the basic medical insurance fund is 3 times the average annual salary of urban workers in the previous year;

(five) for more than three consecutive years, the maximum payment limit of the basic medical insurance fund is four times the average annual salary of urban workers in the previous year.

The insured person of local supplementary medical insurance, the maximum amount of medical expenses paid from the local supplementary medical insurance fund in each medical insurance year is linked to the time of continuous participation in basic medical insurance, and the specific criteria are:

(1) If the continuous enrollment period is less than 1 year, the maximum medical expenses paid by the local supplementary medical insurance fund is 50,000 yuan;

(2) If the continuous insured period is over 1 year but less than 2 years, the maximum medical expenses paid by the local supplementary medical insurance fund shall be 1 10,000 yuan;

(3) If the continuous insurance period is over 2 years and less than 3 years, the maximum medical expenses paid by the local supplementary medical insurance fund is 6.5438+0.5 million yuan;

(four) for more than three years, the maximum amount of medical expenses paid by the local supplementary medical insurance fund is 200 thousand yuan.

4 all kinds of basic medical insurance.

Medical insurance is divided into comprehensive medical insurance and hospitalization medical insurance.

The following persons participate in comprehensive medical insurance:

(a) with the city's household registration (including blue-printed accounts, the same below) on-the-job personnel;

(two) retirees who have a household registration in this city before retirement and are paid the pension insurance benefits by the municipal social insurance institution on a monthly basis;

(three) retirees who have been registered in this city before retirement and participated in the overall planning of the original old-age insurance industry, and the social insurance institutions in Guangdong Province pay the old-age insurance benefits on a monthly basis;

(four) other on-the-job personnel as stipulated by the municipal government.

The following persons participate in hospitalization medical insurance:

(1) On-the-job personnel who are not registered in this Municipality;

(two) by the municipal social insurance institutions to pay monthly pension insurance benefits of non registered retirees in this city;

(3) Unemployed persons registered in this Municipality and receiving unemployment benefits.

Upon application by the employer, employees who are not registered in this city can also participate in comprehensive medical insurance.

5. The field delivery expense reimbursement processing

Going home from Shenzhen for production does not require the approval of the Social Security Bureau (the unit agrees), and the reimbursement standard for maternity expenses is approved with reference to the expense standard of the same level specialized hospital in Shenzhen. The basic medical expenses for natural delivery shall not exceed 2,500 yuan (reimbursement standards for different hospitals in different regions shall be different), and the basic medical expenses for caesarean section shall not exceed 3,300 yuan. The delivery expenses of abnormal pregnancy and delivery complications (such as pregnancy-induced hypertension syndrome, postpartum hemorrhage, puerperal infection, etc.). ) should be submitted for reimbursement by the copy of the hospital medical record, unit certificate, birth certificate and birth certificate.

6. Proportion of individual accounts of endowment insurance and * * * economic funds:

The proportion of individual accounts of registered employees in this city is 165438+ 0% of the paid-in wages of employees (including 5% paid by individuals and 6% paid by enterprises), and the proportion of * * * funds is 3% of the paid-in wages of employees; The proportion of individual accounts of employees who are not registered in this Municipality is 1 1% of the employees' paid wages (including 5% paid by individuals and 6% paid by enterprises), and the proportion of * * * funds is 2% paid by enterprises.

7. Treatment of work-related injury death

If the insured dies at work, the beneficiary can get the following benefits:

(1) Funeral expenses: A one-time payment shall be made to the unit undertaking the funeral or the relatives of the deceased according to the average monthly salary of employees in this Municipality last year of six months.

(2) One-time pension: Pay a one-time pension to the relatives of the deceased according to the average monthly salary of employees in this city for 48 months in the previous year.

(3) Living allowance for supporting immediate family members and spouses: if one person is supported, 30% of the average monthly salary of employees in the previous year will be paid monthly; To support two people, the monthly salary is 60% of the average monthly salary of employees in the previous year; If three or more people are supported, 80% of the average monthly salary of employees in the previous year will be paid monthly; If the dependents are orphans or widowed old people, the monthly salary is120% of the average monthly salary of employees in the previous year; (Regulations of Shenzhen Municipality on Industrial Injury)

If the insured dies at work, the beneficiary can get the following benefits:

(1) Funeral expenses: paid in one lump sum to the unit undertaking the funeral or the relatives of the deceased according to the average monthly salary of the employees in the city in the previous year.

(2) Survivor's pension: a one-time payment shall be made to the relatives of the deceased according to the average monthly salary of employees in this Municipality in the previous year. The order of receiving survivors' pension is: 1, spouse, parents and children; 2. Brothers and sisters, grandparents and grandparents; 3. Other relatives.

If the relatives in the first order receive it, the relatives in the second order do not receive it. If there is no first-degree relative to collect it, it will be collected by second-degree relatives. And so on.

(3) Living allowance for supporting immediate family members and spouses; If one person is supported, it is 30% of the average monthly salary of employees in the city where he lives last year; For those who support more than two people, it is 50% of the average monthly salary of employees in the city where they live last year; If the maintenance fee is an orphan or an orphan, it shall be paid at 150% of the above standard.

Living allowance is paid to immediate family members and spouses on a monthly basis until the support conditions are lost. The scope and conditions for supporting immediate family members shall be implemented in accordance with the relevant provisions of the state.

The living allowance is adjusted every year with the increase of the average wage of employees, and it is not adjusted when the average wage of employees is negative. (Regulations of Guangdong Province on Work-related Injury)

8. Calculation method of payment balance, years and length of service in the Mainland after the transfer of foreign registered permanent residence personnel.

(1) For employees transferred to this Municipality before July 3 1, 1992, their continuous length of service before July 3 1, 1992 (except for those who have not participated in the endowment insurance according to the provisions of the municipal government) shall be regarded as the payment period.

(2) Employees transferred to this city after August 1, 65438, 0992 will no longer pay * * * economic funds and personal accounts.

1August 1992 to1June 30, 1996, the employees transferred to this city have paid the * * * economic fund according to the regulations of the municipal government, and their * * * economic fund will be transferred to their personal accounts.

(3) 1, 65438, employees transferred to this city after July, 0996, who exceed the age limit of transferred workers and cadres stipulated by the municipal government, shall pay the over-age pension insurance premium; After payment, the continuous length of service before being transferred to this city shall be regarded as the payment period.

The payment standard of over-age pension insurance premium shall be stipulated separately by the municipal government.

Over-age pension insurance premiums are paid by the transferred units and included in the local supplementary pension insurance fund. ,

9 penalties for enterprises that have not participated in social endowment insurance

In violation of the Regulations of Shenzhen Special Economic Zone on Social Endowment Insurance for Enterprise Employees, concealing the number of participants or the payment of wages, failing to register the endowment insurance or refusing to provide relevant information, the municipal social security agency shall order it to make corrections; If it fails to make corrections within the time limit, it may impose a fine of 50,000 yuan on the enterprise, and impose a fine of 60,000 yuan to 30,000 yuan on the directly responsible person in charge and other directly responsible personnel;

10. Composition of total wages:

1989 On September 30th, with the approval of the State Council, the National Bureau of Statistics issued the first order "Provisions of the National Bureau of Statistics on the Composition of Total Wages" on October 30th. According to this regulation, the total wages refer to the total labor remuneration paid directly to employees, which consists of six parts: hourly wages, piece-rate wages, bonuses, allowances and subsidies, overtime wages and wages paid under special circumstances. Among them, funds refer to the excess labor remuneration paid to employees and the labor remuneration for increasing income and reducing expenditure; Allowance refers to the allowance paid to employees to compensate for their special or extra labor consumption and other special reasons, as well as the actual price paid to employees to ensure that their wage level is not affected by prices; The wages paid under special circumstances mainly include: wages paid under such circumstances as illness, work injury, maternity leave, family planning leave, wedding and funeral leave, family visit leave and public holidays. In short, except for items such as invention award, technical progress award, rationalization proposal award, trade union education fee, transportation subsidy, housing subsidy, washing fee, labor protection fee (such as labor protection articles, cool materials and health food treatment paid by labor protection fee for special jobs such as toxic and harmful, high temperature and deep water), other labor remuneration belongs to total wages.

See here for more questions.

Insurance guide

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1. The delivery time of participating in the monthly social insurance report and the ways of paying social insurance due to various reasons:

(a), the employer's insurance situation changes, the need to fill in the "social insurance monthly report" and report before the fifteenth day of each month.

Recently delivered;

(2) Provide the completed Approval Form for Supplementary Endowment Insurance for Employees and the original payroll and related documents during the supplementary period, such as transfer orders and labor contracts;

(three), the following circumstances can not pay the old-age insurance premium

1, unemployment period;

2. During the prison term;

3. No labor income;

4 years of work beyond the retirement age stipulated by the state (unless otherwise stipulated by the state);

5. Other circumstances stipulated by laws and regulations.

2. Description of surrender (transfer) of endowment insurance:

(a) before retirement, the accumulated amount of personal accounts of employees transferred out of this city shall be handled in the following ways;

1. All the accumulated principal and interest of employees who are not registered in cities and towns are transferred to the local social insurance institutions, and if the local social insurance institutions refuse to accept them, all the accumulated amount will be returned to me.

2. If the personal account of rural household registration workers in this city is established 1 year or more, the accumulated principal and interest will be returned to me; Personal accounts that have been established for less than one year will not be surrendered temporarily.

3 for employees who have gone abroad or settled in Hong Kong, Macao and Taiwan, the accumulated amount of personal accounts will be returned to them.

(two), return (transfer) insurance procedures must be handled in person, and provide the following information:

1, social insurance certificate of Shenzhen employees;

2. Refund (transfer) guarantee issued by the unit;

3. Fill in the employee retirement (transfer) registration form;

4. Original and photocopy of ID card;

5. Persons leaving the country for settlement shall also provide passports and other relevant supporting materials.

3. Treatment of emergency treatment and hospitalization expenses outside the city

Insured workers in the business trip, visiting relatives due to acute and critical illness in the city hospital emergency, hospitalization, must immediately report to the unit, the unit should be within ten days to the Municipal Social Security Bureau for outpatient registration procedures. The basic medical expenses that meet the reimbursement conditions after discharge shall be reviewed and reimbursed by the discharge summary and the detailed list of hospitalization expenses (according to the Shenzhen medical charging standard and the hospitalization reimbursement standard of the same level hospital). If you don't go through the formalities for more than one month or can't provide discharge summary and disease diagnosis certificate, your medical expenses will not be reimbursed.

4. Procedures for cash reimbursement

All medical expenses paid in cash for medical treatment in designated hospitals in the city due to emergency, computer failure, medical card failure and other reasons. It must be audited by the staff of the reimbursement room of the medical insurance department, and then the medical expenses approved by the audit will be used to the financial room of the Municipal Social Insurance Bureau 1027 for reimbursement.

5 retirees back to the mainland for permanent residence, medical expenses reimbursement processing:

Retirees who return to the mainland to settle down should first apply for the number of books and periodicals and file with the Medical Insurance Department of the Municipal Social Security Bureau. A reasonable part of the medical expenses of retirees shall be reimbursed, of which the Social Security Bureau only bears a reasonable part of the basic medical insurance, and the rest shall be solved by the original payment channel. The basic outpatient examination, treatment and medication expenses of retirees are deducted from personal accounts, and the hospitalization expenses are reviewed and reimbursed according to the reimbursement standard of hospitalization expenses of hospitals at the same level in Shenzhen, of which * * * pays 95% and the individual pays 5%.

6 employees flow between enterprises in this city, and the payment method of their old-age insurance:

Because Shenzhen Social Insurance Fund Management Center implements vertical management in the organization, it is networked in the whole city in terms of expenses and receipts.

Therefore, when employees move between enterprises in this city, their social insurance number remains unchanged, and their endowment insurance remains unchanged.

Personal account, as long as the employee's original social insurance number is used to pay the old-age insurance premium for the enterprise.

Employees stop work or lose their jobs for various reasons, and the payment period is fixed.

And the accumulated amount of personal account continues to bear interest.

7. Instructions for Refund of Housing Provident Fund

(a), who participated in the housing provident fund workers, after the purchase procedures, can handle the housing provident fund settlement procedures. (two), housing provident fund settlement procedures must be handled in person, and provide the following materials;

1, social insurance certificate of Shenzhen employees;

2, unemployment certificate or housing provident fund settlement certificate issued by the unit;

3. Original and photocopy of real estate license or purchase contract or down payment receipt;

4. Original and photocopy of ID card.

8 conditional directly under the authority and family institutions to participate in the overall medical care.

First, the applicable object

The immediate family members of the cadres and workers of the municipal party and government organs and institutions who meet the following conditions may voluntarily participate in the overall medical care:

1. Hold a permanent residence in Shenzhen Special Zone (the same household registration book) and live in the Special Zone;

2. Children: 18 years old (or over 18 and still studying in ordinary middle schools);

3. Parents or spouses: men over 60 years old, women over 55 years old, and have never had a job income.

Second, the registration procedure

Participants must provide a one-inch bareheaded color recent photo, a household registration book and a copy of the medical insurance certificate of the cadres and workers themselves.

Designated by the unit, it will be sent to the overall medical office on June 5438+05-20 of that month, and a certificate of overall medical care will be issued at the beginning of next month.

9. Conditions, scope of application and insured objects for establishing supplementary endowment insurance for enterprises.

First, the scope of enterprise supplementary endowment insurance and the insured object

Enterprises established according to law in this Municipality, institutions with enterprise management, and personnel with Shenzhen household registration (including blue-printed households).

) employees, enterprise managers who are not registered in Shenzhen, and Chinese employees of foreign-invested enterprises.

Two, the conditions for enterprises to establish a supplementary pension insurance system

1, participate in the basic old-age insurance and pay the basic old-age insurance premium in full and on time;

2. The profit of the enterprise in the previous year.

3. Good democratic management foundation.

10. Report the loss and reissue the social insurance card after it is lost.

(1) loss reporting certificate: the company or I report the loss of the computer number and ID number through the telephone center or directly report the loss to the company manager.

(2) Certificate reissue: I will provide the unit certificate, the original and photocopy of the ID card, and the computer number, and bring one-inch bareheaded color photos to the person in charge of the unit for handling. The unit shall provide the monthly report, the copy of the monthly report and the ID card, and bring one-inch bareheaded color photos and report the loss and reissue them at the same time. The fee for reissue certificate is 15 yuan/piece.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.