Interim Provisions of Hefei Municipality on Basic Medical Insurance for Urban Workers

Chapter I General Provisions Article 1 In order to establish the basic medical insurance system for urban workers, guarantee the basic medical care for workers, improve the health level of workers and promote the healthy development of medical and health undertakings, these provisions are formulated in accordance with the Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Workers and Several Opinions on Implementing the Reform of the Medical Insurance System for Urban Workers in Anhui Province. , and combined with the actual situation in our city. Article 2 These Provisions shall apply to the following employers and their personnel within the administrative area of Hefei:

(a) state organs, institutions and their staff;

(2) State-owned enterprises, collective enterprises, foreign-invested enterprises, urban private enterprises and other urban enterprises and their employees;

(3) Social organizations, private non-enterprise units and their employees;

(four) retirees who meet the requirements of the state in the employing units participating in the basic medical insurance according to these regulations.

Township enterprises and their employees, owners of urban individual economic organizations and their employees will not participate in basic medical insurance for the time being. Third central and provincial organs, enterprises and institutions and their employees enjoy the same policy in Hefei and operate in blocks; Central and provincial enterprises that have participated in endowment insurance in Hefei are included in the overall scope of basic medical insurance in Hefei.

Changfeng, Feidong and Feixi counties take the county as the whole unit. Article 4 The administrative department of labor security in Hefei is the competent department of basic medical insurance for urban workers in this Municipality, and the medical insurance agency is specifically responsible for the basic medical insurance.

Health, medicine, finance, local taxes, prices, auditing and other departments should cooperate closely according to their respective responsibilities to do a good job in basic medical insurance. Article 5 The basic medical insurance for urban workers shall adhere to the following principles: the level of basic medical insurance shall be compatible with the development level of productive forces in this Municipality; All employers and their employees in cities and towns should participate in basic medical insurance and implement the principle of territorial management; The basic medical insurance premium is shared by both the employer and the employee; The basic medical insurance fund implements the principle of combining social pooling with individual accounts; The principle of establishing the restriction mechanism between doctors and patients. Sixth units and individuals must fulfill the obligation to pay the basic medical insurance premium according to law; Insured persons have the right to enjoy basic medical insurance benefits. Chapter ii collection and payment of basic medical insurance premiums article 7 basic medical insurance premiums shall be paid by employers and individual employees on a monthly basis.

The employer shall pay 8% of the total average monthly wages of all employees in the previous year as the base. Individual employees pay 2% of their average monthly salary in the previous year.

Last year, the average monthly wage of employees was lower than 60% of the average monthly wage of employees in the province last year, and it was paid at 60%; It is 300% higher than the average monthly salary of employees in the province last year, and it is paid at 300%.

The total wages of employees are calculated according to the statistical caliber stipulated by the state.

When a new unit is insured, the average monthly salary of local employees multiplied by the number of employees in the unit is used as the unit payment base, and the average monthly salary of local employees is used as the payment base.

During the period when laid-off workers from state-owned enterprises enter China's re-employment service center, the basic medical insurance premium (including unit payment and individual employee payment) is paid by the re-employment service center at 60% of the average monthly salary of employees in the previous year.

The payment base is adjusted every year from the next month announced by the statistics department. Eighth insured units to pay the basic medical insurance premiums, the source of funds according to the original supply channels unchanged, according to the following provisions:

(a) social security fees charged by organs, social organizations and units from the recurrent expenditure;

(two) public funds that institutions should pay from social security fees;

(three) the enterprise engaged in industrial welfare expenses;

(four) the basic medical insurance premiums paid by individual employees are paid from their own wages;

(five) the basic medical insurance premium for laid-off workers of state-owned enterprises entering the re-employment service center shall be paid from the basic living security fund for employees of the re-employment service center. Article 9 The basic medical insurance premium paid by individual employees shall be withheld and remitted by the insured units from their wage income. Retirees do not pay the basic medical insurance premium.

The insured unit must declare the amount of medical insurance premium payable to the medical insurance agency on a monthly basis, and pay it to the local tax department within the specified time after being approved by the medical insurance agency. Article 10 The employing unit shall hold the Social Insurance Registration Certificate when participating in the insurance, and go through the following procedures in the medical insurance agency:

(a) fill in the application form for the employer to participate in the basic medical insurance in Hefei, the roster of insured persons, and the salary statement.

(two) the signing of the basic medical insurance agreement;

(three) to obtain the basic medical insurance certificate for employees. Eleventh employers in the process of handling the basic medical insurance business, shall not have the following acts:

(a) do not belong to the basic medical insurance personnel into the basic medical insurance coverage;

(2) Underreporting the total wages;

(three) to recruit people who suffer from diseases and do not meet the conditions for insurance to work in this unit, and to handle basic medical insurance for them;

(four) to provide false documents to the medical insurance agency, resulting in the loss of the basic medical insurance fund. Twelfth insured unit name, bank account number, legal representative, address and personnel, wages and other changes, must be truthfully reported to the medical insurance agency before the 5th of the next month, go through the formalities for change.